인감증명법 시행령 별지 제15호의4서식 인감보호 신청·해지신청서(영문)

별지 제15호의3서식의 영문 서식이다. 인감보호 신청과 인감보호 해지신청에 쓴다.

원문

■ 인감증명법 시행령 [별지 제15호의4서식] <개정 2020. 2. 18.>
■ Enforcement Decree of The Personal Seal Act [Form an enclosure No. 15 4]

[ ] Application for the Protection of Personal Seal
[ ] Application for Cancelling the Protection of Personal Seal
※ Fill out this form and check where appropriate according to the instructions on the back of the form. (Front)
Application Date Processing Time Immediate
No.

               Name                                      Resident Registration No.                        Nationality
                                                                             -
               Address                                                                                    Right Thumb print

Applicant

               Description for Application



               Name                                      Relationship to Applicant                        Personal seal or

Consent of Signature
a Legal
Representative, Date of Birth
※ Attach the certificate
Limited of personal signature
at the time of signing
guardian or
Adult guardian Address

      Confirmation of Diplomatic Mission (Consul), Prison (Prison Officer), Town Government(Civil Servant)

           [ ] the application for the protection of the personal seal.

I certify [ ] the application for cancelling the protection of the personal seal of the applicant.
[ ] the consent of a legal representativeㆍlimited guardianㆍadult guardian.

                                                      Date                                                  (YYYY/MM/DD)


                            [ ] Diplomatic Mission (Consul)                                            (Signature or Seal)
                               [ ] Prison (Prison Officer)                   (Official Seal)            (Signature or Seal)
                                         [ ] Town Government(Civil Servant)                            (Signature or Seal)
                ※ Civil Servant only writes when declarant cannot visit the Town Government because of serious case

I apply for the protection of personal seal or for cancelling the protection of personal seal according to Article 17-2
of the Enforcement Decree of the Seal Imprint Certification Act.

                                                                            Date                           (YYYY/MM/DD)

                                       Applicant:                                                     (Signature or Seal)

                                  Representative:                                                     (Signature or Seal)

                   Resident Registration No.:

                                           Address:

For the Head of the City/County/District/Town/Local Government of
                                                    210mm×297mm[white paper (80g/㎡) or middle quality paper(80g/㎡)]

                                                                                                                             (Back)




                                                        Notes and Instructions
  1. All representatives visiting a government office and applying for the protection (or cancelling the protection) of
    a personal seal on behalf of an applicant who is an overseas Korean national, a person residing (visiting) abroad,
    or a prisoner must bring a form of identification such as a resident registration card.
  2. For resident registration number: If you are an overseas Korean national and do not have a resident registration number,
    enter your passport number; if you are a foreigner, enter your alien registration number; and if you are a registered domestic
    resident, enter your domestic residence report number.
  3. Applying for the protection (or cancelling the protection) of a personal seal allows you to protect (or cancel the
    protection of) your personal seal by ensuring that only you or a person authorized by you can be issued the certificate
    of your personal seal. Describe what you are applying for in the “Description for Application” section, referring to the following
    examples.
    [Examples]
     Do not issue the certificate of personal seal to anyone but myself.
     Do not issue the certificate of personal seal to anyone except myself and my spouse (name, resident
    registration number).
     Do not issue the certificate of personal seal to anyone except myself, my spouse (name, resident registration
    number), and my mother (name, resident registration number).
     The certificate of my personal seal shall only be issued at (the city/county/district/town/local government
    relevant to the address); do not issue at other locations of government office.
     Other description that is necessary for the protection or cancelling the protection of personal seal.
  4. If you are not able to affix your thumbprint, affix any other fingerprint instead; the print must be neatly and
    clearly affixed.
  5. If an overseas Korean national, a person residing (visiting) abroad, or a prisoner designates a representative to
    apply on his/her behalf, the applicant must receive a confirmation from one of the following organizations as
    applicable.
    a. Overseas Korean national, person residing (visiting) abroad: Diplomatic mission (Consul); or
    b. Prisoner: Prison (Prison Officer).
  6. Check where appropriate to indicate whether you are applying for the protection or cancelling the protection of a
    personal seal. If the applicant is a minor, limited wards or adult wards, also check the legal representativeㆍ
    limited guardianㆍadult guardian section.
  7. Check where appropriate to indicate whether the organization is a diplomatic mission or a prison.
                                                              Procedure
    

This application form will be processed as follows.
1. A minor, limited wards or adult wards must get the
Applicant consent of their legal representativeㆍlimited
guardianㆍadult guardian.
2. An overseas Korean national (person visiting abroad) or
a prisoner must receive confirmation from a diplomatic
Submitting ▲ Accepting mission or a prison.
Application Application
▼

Government office receiving personal
                                                 Reporting Application                    Government office in charge
    seal registration (if this is
government office in charge, it manages
                                                                                    ▶    (manages    the    register   of
   the register of personal seals)                                                       personal seals)

관련

최종 수정 2026년 10월 7일 · 이 글은 일반적인 정보 제공을 위한 것이고 개별 사안의 법률 자문이 아닙니다. 최종 수정일 기준으로 작성됐으며 이후 법령 개정이나 판례 변경으로 현행과 달라질 수 있고, 법령·판례의 문언은 정본이 우선합니다. 내용만을 근거로 한 판단으로 생긴 손해에 책임을 지지 않습니다. 면책 고지
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