ATTACHMENT     2

Original (Duplicate/Triplicate)

(Additional Page)

Reference No.

5.Item number	6. Marks and numbers on packages	7. Number and type of packages, description of goods (including quantity number of the importing country)	8.Origin criterion (see Notes overleaf)	9. Gross weight or other quantity and value (FOB only when RVC criterion is used)	10. Number and date of Invoices
11. Declaration by the exporter The undersigned hereby declares that the above details and statement are correct; that all the goods were produced in ............................................................. (Country) and that they comply with the origin requirements specified for these goods in the KOREA-ASEAN Free Trade Area Preferential Tariff for the goods exported to ............................................................. (Importing Country) ............................................................. Place and date, signature of authorised signatory			12. Certification It is hereby certified, on the basis of control carried out, that the declaration by the exporter is correct. ................................................................................ Place and date, signature and stamp of certifying authority