[Form no. 19] (2013.6.10. 개정)

Notification of Disposal of Capital Goods

※ Do not fill in the colored box, and mark □ in the applicable item in [  ].

Number of Receipt

Date of Reception

Date of Completion

Term of Completion

Immediate

Foreign investor or foreign-invested business

Name

Address

(Phone no.:                               )

List of capital goods to be disposed of

Description

Quantity

Value at the time of import

Value at the time of disposal

Date of import declaration under the Customs Act

Date of disposal

I, the undersigned, hereby report as above under Article 22, Paragraph 1 of the Foreign Investment Promotion Act, and Article 18 of the Enforcement Rules of the Act.

Year        Month        Date

Reporter

(Signature or seal)

(or Power of Attorney)

(Phone no. :                    )

For the Delegated Authority

For the reporter

Report no.:

The above notification is confirmed.

Year        Month        Date

Delegated Authority	Official seal

Required documents

None

Processing fee

None

Procedure

	Notification			□		Acceptance		□	Review and confirmation		□	Issuance of certification of report		□	Receipt
	Reporter					Head of the delegated agency			Head of the delegated agency			Head of the delegated agency			Reporter

210mm□297mm[White Paper 80g/□]