■ 수산생물질병 관리법 시행규칙 [별지 제21호서식] <개정 2024. 7. 4.>

대한민국 해양수산부

수출검역 증명서

Ministry of Oceans and Fisheries, Republic of Korea

(HEALTH CERTIFICATE OF LIVE AQUATIC ORGANISM QUARANTINE)

검역증번호(Certificate No.):

수출자

(Exporter)

성명(Name)

상호(Company name)

주소(Address)

(전화번호, Tel:                    )

수입자

(Importer)

성명(Name)

상호(Company name)

주소(Address)

(전화번호, Tel:                    )

품명

(Common name)

학명

(Scientific name)

개수(Quantity, C/T)

중량

(Total weight or number)

생산시설

(Aquaculture establishment)

성명(Name)

상호(Company name)

주소(Address)

(전화번호, Tel:                    )

검역대상질병(Specified disease)

선적항(Port of shipping)

선적일

(Date of shipping)

도착국가(Country of destination)

운송수단

(Mean of conveyance)

비고(Remark)

위의 수산생물은 「수산생물질병 관리법」 제31조 및 같은 법 시행규칙 제34조제4항에 따라 검역하였으며, 위의 질병에 감염되지 않았음을 증명합니다.

This is to certify that the aquatic organisms described above have been quarantined in accordance with Article 31 of The Aquatic Organism Disease Control Act and Item 4 of Article 34 of Enforcement regulations of the same Act and that they are free from the specified disease described above.

발행 연월일(Date of Issue):

국립수산물품질관리원 ○○지원장	직인

To Director of National Fishery Products Quality Management Services ○○Regional Office

210mm×297mm[백상지 80g/㎡]