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 printApplicant
Description for Application Name Relationship to Applicant Personal seal orConsent of Signature
a Legal
Representative, Date of Birth
※ Attach the certificate
Limited of personal signature
at the time of signing
guardian or
Adult guardian AddressConfirmation 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 caseI 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
- 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.- 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.- 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.- If you are not able to affix your thumbprint, affix any other fingerprint instead; the print must be neatly and
clearly affixed.- 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).- 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.- Check where appropriate to indicate whether the organization is a diplomatic mission or a prison.
ProcedureThis 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)
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