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Simulation of Online Reporting Process Application to confirm conclusion of mutually agreed terms

BOOKMARK PRINT

It is the simulation page for practice and learning how to report online.
You can experience the same reporting process through the filled text fields.

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Applicant
This field is non-editable

신고인 입력 테이블입니다.
Applicant
Name (Company Representative) Jane Doe Affiliation (Company Name) Chenel co. ltd, Supply chain manager
Date of birth (Business registration number) 19790407 Phone number +33-1-12 34 56 78
Email
Address (place of business) 000 RUE DU FAUBOURG SAINT-HONORÉ 75008/td>
Floor / unit number PARIS, FRANCE<

A Declaration Certificate for Access to Korean Genetic Resources will be sent to the address you entered in this form. The [Ministry of Environment] is not responsible for any delivery problems (delay, loss, delivery to wrong address, etc.) or disadvantages caused by delivery problems.

Serial number of Declaration Certificate for Access to Korean Genetic Resources

신고인 입력 테이블입니다.

Mutually agreed terms

Contents of mutually agreed terms
Please tick the appropriate boxes (multiple check boxes available) or where






()
Copy of Mutually Agreed Terms (if applicable)

Submission

I hereby submit this Application Form for Verifying the Conclusion of Mutually Agreed Terms in accordance with the former part of Article 4(4) of the Enforcement Decree of the Act on Access to and Utilization of Genetic Resources and Benefit-Sharing and Article 3(3) of the Enforcement Rule thereof.

May 1 2025

Applicant sign

Submit
Please use the mouse to complete the Signature

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