[Form No. 6]	Foreign investment
□ Notification Form of a Foreign Investment made in the □ Change in Content Form Form of a Long-Term Loan	Term of Completion
Immediate
Debtor	①Name
②Address	(Telephone No.: )
Lender	③Name		④Nationality
⑤Address
Content of the Loan	⑥Amount of the Loan	(USD )
Loan Condition	⑦Grace Period		⑧Repayment Schedule
⑨Rate of Interest		⑩Others
⑪Method of Loan	Cash Amount	Capital	Other Methods
⑫Purpose of Loan
※⑬Change of Content	Previously Notified Content	Content After Change
In accordance with regulations in Article 8, Paragraph 1, of the Foreign Investment Promotion Act, the above is notified. Year Month day Applicant (Signature or Seal) (or Power of Attorney) (Telephone No.: ) For the Delegated Authority
For the Applicant Notification No.: The above notification is confirmed. Year Month day For the Delegated Authority Offcial Seal
Required Documents	Processing Fee
Exempt
(In case of notification) 1. A copy of a document certifying the identity of the overseas parent company or enterprise which has capital affiliation with the parent company 2. A copy of the loan agreement contract (In case of a change in content of notification) 1. A copy of a document certifying the identity of the overseas parent company or enterprise which has capital affiliation with the parent company(Only in case of change in lender) 2. A copy of the changed loan agreement contract

※⑬: Only applies to those applicants filling out a Change in Content Form.

22225-04311Civil-Affairs Form                                                 210mm×297mm

Approved. 98.11.10.                                    (Standard Paper 60g/□(Recycled Paper))