Applicant 
			
			Consent to sharing administrative records 
			
				Matters to be verified by head of relevant Competent National Authority 
				
					- Business registration certificates (if applicable) 
					- Resident (alien) registration certificate or passport, nationality certificate, registration of Korean nationals residing abroad or certificates registered in their own countries (for individuals) 
				 
			 
			
				Consent to sharing administrative records 
				
					 I hereby agree that officers in charge of reporting may verify the matters above with the head of the relative Competent National Authority through the sharing of administrative records pursuant to Article 36 (1) of the Electronic Government Act 
					※ If the reporting person does not consent to the above, the person must submit the relevant document(s) directly 
				 
				
			 
			
				
					ApplicantCucu Chenel 
				
				sign 
			 
			
				
				
					Applicant Cucu Chenel 
				
				  
				  del 
				
			 
			
				
					Document(s) to be submitted in case you disagree with the Consent to Sharing Administrative Information. 
					
				 
			 
			Consent to disclosure of information 
			
				
					- The purpose of this consent to disclosure of information is the implementation of Article 14 of the Nagoya Protocol  
					- Please check the boxes below to indicate whether you agree or do not agree to the sharing of each of the following items in ABSCH website(absch.cbd.int) for the implementation of the Act on Genetic Resources  
				 
			 
			
				  I agree (I have read and agree to the terms) 
			
			
				
					agree 
					
						 
						 
						 
					 
					
						
							Category 
							Reporting person/Applicant 
							Provider of Genetic Resources 
						 
					 
					
						
							Name 
							
								
							 
							
								
							 
						 
						
							Identification number 
							
								
							 
							
								
							 
						 
						
							Contact information 
							
								
							 
							
								
							 
						 
						
							Address 
							
								
							 
							
								
							 
						 
						
							Name of genetic resource 
							
								
							 
						 
						
							Quantity or Concentration 
							
								
							 
						 
						
							Purpose of access 
							
								
							 
						 
					 
				
			 
			Nov 4 2025
			
			
		 
		
			About the fee payment 
			
			Any person intending to report changes in accessing to Korean genetic resources shall pay a fee (KRW 10,000) in accordance with Article 22 of Act on Access to and Utilization of Genetic Resources and Benefit-Sharing, and Article 6 of the Enforcement Rule thereof.
			Payment of fee 
			 
				
					(Online) the official website of Electronic Revenue Stamps (www.edoc-revenuestamp.or.kr)
						
							Non-member service or Sign-in (via Accredited Certificate, I-Pin) on the website 
							Payment methods
								
									Account transfer (KB Bank, Shinhan Bank, etc)  
									Credit cards (BC Card, Samsung Card, etc) 
								 
							 
							Click the “Administrative fee(행정수수료)” button after you select “Electronic revenue stamp for paper documents”
								
									It is recommended that the applicants from overseas get help from partner organization in Korea to buy electronic revenue stamp.  
								 
							 
						  
						
					 
					Banks and post offices in Korea.
						
							Cash payment by presenting your ID card. 
						 
					 
					Any helps in paying the fee? gric@korea.kr  
				  
			 
			
			
		 
		
			
				
					
Submission 
					I hereby submit this Report on Access to Domestic Genetic Resources pursuant to Article 9(1) of Act on Access to and Utilization of Genetic Resources and Benefit-Sharing, Article 4(1) of the Enforcement Decree thereof, and Article 3(1) of the Enforcement Rule thereof.