[Form no. 25] (2013.6.10. 개정)

Application for Confirmation of Completion of In-Kind Investment

※ 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

Name of foreign investor

Nationality

Foreign invested company

Name

Address

(Phone no.:                        )

Business registration no.

Content of report

Date of FDI report

Year           Month           Date

FDI amount and ratio(%)

Won(approximately                    USD),            %

Date of the customs office's receipt of import declaration

Content of in-kind investment

Description

Quantity

Dimension

Manufacturer

Amount

I, the undersigned, hereby apply for the confirmation of the completion of in-kind investment under Article 30, Paragraph 3 of the Foreign Investment Promotion Act and Article 24, Paragraph 1 of the Enforcement Rules of the Act.

Year        Month        Date

Applicant

(Signature or seal)

(or the proxy)

(Phone no.:               )

For the Administrator of the National Customs Service

For the applicant

The above notification is confirmed.

Year        Month        Date

Administrator of the National Customs Service	Official seal

Matters to be confirmed by the Administrator of the National Customs Service

Certificate of import declaration

Processing fee

None

Consent to the joint use of administrative information

I [  ] agree [  ] do not agree that, in connection with the processing of this matter, the Administrator of the National Customs Service checks □matters related to the certificate of import declaration□ by means of the system for joint use of administrative information in accordance with Article 36, Paragraph 1 of the Electronic Government Act. * Should the applicant not agree, he/she should submit a copy of the certificate of import declaration.

Resident registration no. of the applicant

(or foreigner registration no.):

Applicant

(Signature or seal)

210mm□297mm[White Paper 80 g/□])