[Annexed paper 1]

Written Agreement

Father's name :

Permanent domicile address :

Address :

Resident registration Number :

Mother's name :

Permanent domicile address

Address :

Resident registration Number :

We agree that the surname and place of family origin of all children born to the above parents will follow the mother's one.

20        .      .      .

Father                      Seal (Signature)

Mother                     Seal (Signature)

Required Documents

1. One copy of an identification card(driver's license, passport, public official card or other similar identification) of the submitter in order to certify their identity.

2. If one side or both sides of the contracting parties of a marriage can not visit, please submit a copy of the certificate of seal impression or notarized signature.

Instructions

1. If one or both of the contracting parties of a marriage can not visit, the certificate of seal impression or notarized signatures of the party not present must be attached.

2. Any submitter of a false agreement by the illegal use of signature or seal impression of a third party shall be sentenced to up to 5 years imprisonment or a fine of up to ten million won in accordance with regulations stated in Article 231, to Paragraph 2 Article 240 of the Criminal Law.

[Annexed paper 1]

Written Agreement (협의서)

※ Father's name  (부의 이름)

￭ Please write the name of father. (부의 이름을 기재해 주세요.)

※ Permanent domicile address (등록 기준지 )

￭ Please write the permanent domicile address of father.

(부의 등록 기준지를 기재해 주세요.)

※ Address (주소)

￭ Please write the address of father. (부의 주소를 기재해 주세요.)

※ Resident registration Number (주민등록번호)

￭ Please write the resident registration Number of father.

(부의 주민등록번호를 기재해 주세요.)

※ Mother's name (모의 이름)

￭ Please write the name of mother. (모의 이름을 기재해 주세요.)

※ Permanent domicile address (등록 기준지)

￭ Please write the permanent domicile address of mother.

(모 등록 기준지를 기재해 주세요.)

※ Address (주소)

￭ Please write the address of mother.  (모 주소를 기재해 주세요.)

※ Resident registration Number (주민등록번호)

￭ Please write the resident registration Number of mother.

(모 주민등록번호를 기재해 주세요.)

□ We agree that the surname and place of family origin of all children born

to the above parents follow as mother's one.

(위의 부모 사이에서 태어날 모든 자식의 이름과 본적을 어머니의 이름과 본적으로

하기로 협의합니다.)

￭ Please write the writing date. (작성 일자를 기재해 주세요.)

￭ Please write name of father and put the his seal.

(부의 이름을 기재하고 날인하세요.)

￭ Please write name of mother and put the his seal.

(모의 이름을 기재하고 날인하세요.)

□ Required Documents (첨부 서류)

1. One copy of an identification card(driver's license, passport, public

official card or other similar identification) of the submitter in order to

certify their identity

제출인의 신분을 확인할 수 있는 주민등록증(운전면허증, 여권, 공무원증

등)사본 1부)

2. If one side or both side of the contracting parties of a marriage can

not visit, submit a certificate of seal impression or notarized signature

1 copy

출석하지 않은 혼인당사자 일방 또는 쌍방의 인감증명서, 서명에 대한

공증서 1부

□ Instructions (유의 사항)

1. If one or both of the contracting parties of a marriage can not visit,

the certificate of seal impression or notarized signatures of the party

not present must be attached.

혼인당사자 중 일방 또는 쌍방이 불출석한 경우, 불출석한 당사자의 인감

증명서 또는 서명에 대한 공증서를 반드시 첨부하여야 합니다.

2. Any submitter of a false agreement by the illegal use of signature or

seal impression of a third party shall be sentenced to up to 5 years

imprisonment or a fine of up to ten million won in accordance with

regulations stated in Article 231, to Paragraph 2 Article 240 of the

Criminal Law.

타인의 서명 또는 인장의 도용 등으로 허위의 협의서를 작성하여 제출하

는 경우에는「형법」제231조부터 제237조의2까지의 규정에 따라 5년 이

하의 징역 또는 1천만원 이하의 벌금형에 처해집니다.