Attachment 1		Power of Attorney (Draft)

Power of Attorney
Grantor (Person Granting Authority)	Name		Date of Birth
	Address		Telephone No.:
Attorney- in-fact (Person Receiving Authority)	Name (Signature or Seal)		Date of Birth:
	Relationship to the Grantor:		Telephone No.:
	Address
Application Details	Type of Report	□ Report on Access to Korean Genetic Resources □ Application Form for Verifying the Conclusion of Mutually Agreed Terms □ Change Report on Access to Korean Genetic Resources □ Procedural Complication Report on Foreign Genetic Resources
	Purpose:
The Grantor hereby authorizes the Attorney-in-Fact to submit the above application, to receive and collect any related documents or notices, and to perform all acts necessary in connection therewith. Date: / / Grantor (Signature or Seal)
Notes
1. The Attorney-in-Fact must present an identification document (e.g., Resident Registration Card, passport, driver’s license, etc.). However, for online submissions, the requirement to present an identification document shall be replaced by identity verification conducted via a mobile phone authentication service for Korean nationals and via email verification for foreign nationals. 2. If a power of attorney is prepared falsely—such as by misappropriating another person’s seal—this may be punished as the crime of forgery or alteration of private documents under Articles 231 and 232 of the Criminal Act, by imprisonment for up to five (5) years or a fine of up to KRW 10,000,000.
210mm×297mm[White paper, 80g/㎡]