| 원산지증명서 
 1. Seller
 ORIGINAL
 CERTIFICATE OF ORIGIN
 issued by
 THE KOREA CHAMBER OF COMMERCE & INDUSTRY
 Seoul, Republic of Korea
 2. Consignee
 원산지증명서
 대한상공회의소
 4. Buyer (if other than conssignee)
 3. Particulars of Transport (where required)
 5. Country of Origin
 6. Invoice Number and Date
 7. Shipping Marks
 8. Number and Kind of Packages; Description of Goods
 9. Gross Weight or Other Quantity
 
 10. Other Information
 The Korea Chamber of Commerce & Industry hereby certifies, on the basis of relevant invoice and other documents, that the above mentioned goods originate in the country shown in column 5.
 
 THE KOREA CHAMBER OF COMMERCE & INDUSTRY
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