■ 수입식품안전관리 특별법 시행규칙 [별지 제39호서식] <개정 2022. 3. 2.>
(앞쪽 Front page)
	Address Tel: - , Fax: -
	Certificate No.: MFDS 해당 부서 영문 약칭 -
HEALTH CERTIFICATE
					MM/DD/YY:
This is to certify that the following products have been produced and distributed in a sanitary manner and are fit for human consumption according to the 해당 법률 영문명칭 of the Republic of Korea.
￭		Name and address of establishment:
￭		Country of destination:
￭		Name and address of consignor:
￭		Name and address of consignee:
￭		Remarks:
				Signature:
				(해당 부서 영문 명칭)
				○○ Regional Office of Food & Drug Safety
				Republic of Korea
				210mm×297mm(백상지 150g/㎡)

(뒤쪽 Back page)
Name of product	Type of product	Type and Number of packages	Weight	Date of manufacture or Lot No