■ 가축전염병예방법 시행규칙 [별지 제14호서식] <개정 2014.2.14>
동물검역신청서 (APPLICATION FOR ANIMAL QUARANTINE)
※ Please refer to the attached documents and procedures of the back, and dark spaces keep in blank (Front)
접수번호		접수일		발급일		처리기한 뒤쪽 참조
① 신고번호					② 신고일 (Date)
③ 신고기관					④ B/L번호 (B/L No.)
⑤ 입항일 (Date of arrival)					⑥ 선(기)명 (Name of ship or flight)
⑦ 수입 화주 (Consignee)	성명 (Name)				상호 (Company name)
	주소 (Address)
⑧ 수출자 (Consignor)	성명 (Name)				⑨ 수출국 (Country of export)
	주소 (Address)
⑩ 축종 (Species and breed)					⑪ 모델·규격 (Sex, Age, color, etc.)
⑫ 수량 (Number of head)					⑬ 금액 (Total cost)
⑭ 도착항 (Port of arrival)					⑮ 생산국 (Country of production)
⑯ 선적항 (Port of shipping)					⑰ 선적일 (Date of shipping)
⑱ 담당자
위와 같이 동물검역을 신청합니다. I request the quarantine of the above animal. 년(Year) 월(Month) 일(Date) 검역신청인 (한글) 성명 : (서명 또는 인) 주소 : Applicant for Quarantine (영문) Name and Signature : Address : 농림축산검역본부장 귀하 (To Director of Animal and Plant Quarantine Agency)
210㎜×297㎜(신문용지 54g/㎡)

						(Back)
Required Documents	1. Copy of Certificate of Quarantine by export authorities certifying that there are no concerns of spread of livestock pathogens (not required for animals covered by the enforcement regulations (Item 1, Article 35) of the Livestock Epidemic Prevention and Control Act) 2. Copy of Certificate for Import Permit (limited to the case wherein import permit was given by the Direct of Animal and Plant Quarantine Agency)
Fees	Specified by the ministerial order (Ministry of Agriculture, Forestry and Rural Affairs) in accordance with Item 1, Article 46 of the Livestock Epidemic Prevention and Control Act
Period	Refer to Article 37 and Schedule 8 of the enforcement regulations of the Livestock Epidemic Prevention and Control Act
How to fill out the form	① Application No. : To be left blank by the applicant ② Date : Date of quarantine application for the animals in question ③ Authorities for Reporting : Competent branches of the National Veterinary Research and Quarantine Service ④ B/L No. : Number of a bill of landing(B/L)(limited to import case; leave it blank if not applicable) ⑤ Date of Arrival : Date of entry into port ⑥ Name of Ship and Flight : Names of ships and flights in English where the animals for quarantine are shipped or will be shipped ⑦ Import Consignor : Name of consignor or company importing the animals for quarantine ⑧ Exporter : Name of consignor or company exporting the animals for quarantine ⑨ Country of Export : Country exporting the animals for quarantine ⑩ Names of Species : Names of species or breed of animals for quarantine ⑪ ModelㆍStandard : Sex, age, color of fur, numbers specified with sex of an animal for quarantine ⑫ Number : Number of animals for quarantine ⑬ Quarantine Cost : Cost of quarantining the animals in question ⑭ Port of Arrival : Name of port or airport in Korea where the animals in question arrived ⑮ Country of Production : Name of country producing the animals in question ⑯ Port of Shipping : Name of port or airport where the animals in question are shipped ⑰ Date of Shipping : Date of shipping the animals in question
Application Procedures
Fill the application form		□	Receipt of Application	□	Check of Authenticity of Facts	□	Issuance of Certificate of Quarantine
Applicant			Handling agencies (Animal and Plant Quarantine Agency)		Handling agencies (Animal and Plant Quarantine Agency)		Handling agencies (Animal and Plant Quarantine Agency)
210㎜×297㎜(신문용지 54g/㎡)