■ 수입식품안전관리 특별법 시행규칙 [별지 제41호서식] <개정 2022. 3. 2.>
(앞쪽 Front page)
	Address Tel: - , Fax: -
	Certificate No.: MFDS 해당 부서 영문 약칭 -
CERTIFICATE OF ANALYSIS
					MM/DD/YY:
This is to certify that the following products are manufactured in compliance with relevant requirements, as shown by the detailed tests performed by testing laboratories accredited by the ministry of Food and Drug Safety.
￭		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
Detailed Test Results
Item		Results			Standard