국적상실신고서

[별지 제10호 서식]<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p> 국 적 상 실 신 고 서<o:p></o:p> <TABLE style="BORDER-RIGHT: medium none; BORDER-TOP: medium none; MARGIN-LEFT: 5.4pt; BORDER-LEFT: medium none; BORDER-BOTTOM: medium none; BORDER-COLLAPSE: collapse; mso-table-layout-alt: fixed; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 4.95pt 0cm 4.95pt" cellSpacing=0 cellPadding=0 border=1> <TBODY> <TR style="HEIGHT: 25.8pt"> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: windowtext 0.5pt solid; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: windowtext 0.5pt solid; WIDTH: 24.55pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 25.8pt; BACKGROUND-COLOR: transparent" width=33 rowSpan=6> 신<o:p></o:p>  <o:p></o:p> 고<o:p></o:p>  <o:p></o:p> 인<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: windowtext 0.5pt solid; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 60pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 25.8pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt" width=80 colSpan=2 rowSpan=2> 성  명<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: windowtext 0.5pt solid; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 50pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 25.8pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt" width=67 colSpan=2> 한국명<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: windowtext 0.5pt solid; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 285pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 25.8pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt" width=380 colSpan=14> (한자)<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: windowtext 0.5pt solid; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 35pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 25.8pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt" width=47 rowSpan=2> 성<o:p></o:p> 별<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: windowtext 0.5pt solid; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 75pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 25.8pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt" width=100 rowSpan=2> □남 □여<o:p></o:p></TD></TR> <TR style="HEIGHT: 26.85pt"> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 50pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 26.85pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=67 colSpan=2> 외국명<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 285pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 26.85pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=380 colSpan=14>  <o:p></o:p></TD></TR> <TR style="HEIGHT: 26.55pt"> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 60pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 26.55pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=80 colSpan=2> 생년월일<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 115pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 26.55pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=153 colSpan=6> .     .    .<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 50pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 26.55pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=67 colSpan=3> 출생지<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 100pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 26.55pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=133 colSpan=3>  <o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 70pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 26.55pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=93 colSpan=4> 외국국적<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 110pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 26.55pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=147 colSpan=2>  <o:p></o:p></TD></TR> <TR style="HEIGHT: 44.9pt"> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 60pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 44.9pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=80 colSpan=2> 주  소<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 285pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 44.9pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=380 colSpan=14>  <o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 50pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 44.9pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=67 colSpan=2> 전화<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 110pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 44.9pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=147 colSpan=2>  <o:p></o:p></TD></TR> <TR style="HEIGHT: 25.95pt"> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 60pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 25.95pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=80 colSpan=2 rowSpan=2> 본  적<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 445pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 25.95pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=593 colSpan=18>  <o:p></o:p></TD></TR> <TR style="HEIGHT: 26.35pt"> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 60pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 26.35pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=80 colSpan=4> 호주성명<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 155pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 26.35pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=207 colSpan=6>  <o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 90pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 26.35pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=120 colSpan=5> 호주와의 관계<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 140pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 26.35pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=187 colSpan=3>  <o:p></o:p></TD></TR> <TR style="HEIGHT: 26.75pt"> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: windowtext 0.5pt solid; WIDTH: 144.55pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 26.75pt; BACKGROUND-COLOR: transparent; mso-border-top-alt: solid windowtext .5pt" width=193 colSpan=7> 대한민국 국적상실일<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 385pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 26.75pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=513 colSpan=14> .       .       .<o:p></o:p></TD></TR> <TR style="HEIGHT: 26.45pt"> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: windowtext 0.5pt solid; WIDTH: 24.55pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 26.45pt; BACKGROUND-COLOR: transparent; mso-border-top-alt: solid windowtext .5pt" width=33 rowSpan=6> 국<o:p></o:p> 적<o:p></o:p> 상<o:p></o:p> 실<o:p></o:p> 사<o:p></o:p> 유<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 60pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 26.45pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=80 colSpan=2 rowSpan=2> 외국국적<o:p></o:p> 취    득<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 60pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 26.45pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=80 colSpan=4> 국 적 명<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 155pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 26.45pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=207 colSpan=6>  <o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 60pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 26.45pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=80 colSpan=3> 취득일<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 170pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 26.45pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=227 colSpan=5> .       .      .<o:p></o:p></TD></TR> <TR style="HEIGHT: 26.15pt"> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 60pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 26.15pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=80 colSpan=4> 취득원인<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 385pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 26.15pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=513 colSpan=14> □귀화  □혼인  □입양  □인지  □기타(              )<o:p></o:p></TD></TR> <TR style="HEIGHT: 26.55pt"> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 150pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 26.55pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=200 colSpan=7 rowSpan=2> 대한민국 국적취득후<o:p></o:p> 6월내 외국국적 미포기<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 140pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 26.55pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=187 colSpan=6> 대한민국 국적취득일<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 215pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 26.55pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=287 colSpan=7> .       .      .<o:p></o:p></TD></TR> <TR style="HEIGHT: 26.25pt"> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 140pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 26.25pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=187 colSpan=6> 대한민국 국적취득원인<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 215pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 26.25pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=287 colSpan=7> □귀화   □국적회복   □기타<o:p></o:p></TD></TR> <TR style="HEIGHT: 27.35pt"> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 150pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 27.35pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=200 colSpan=7 rowSpan=2> 국적선택 불이행<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 140pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 27.35pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=187 colSpan=6> 대한민국국적취득일<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 215pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 27.35pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=287 colSpan=7> .       .      .<o:p></o:p></TD></TR> <TR style="HEIGHT: 25.65pt"> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 140pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 25.65pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=187 colSpan=6> 외국국적 취득일<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 215pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 25.65pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=287 colSpan=7> .       .      .<o:p></o:p></TD></TR> <TR style="HEIGHT: 224.4pt"> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: windowtext 0.5pt solid; WIDTH: 529.55pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 224.4pt; BACKGROUND-COLOR: transparent; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=706 colSpan=21>  <o:p></o:p> 국적법시행령 제20조의 규정에 의하여 국적상실신고서를 제출합니다.<o:p></o:p>  <o:p></o:p> 첨부 1. 호적등본<o:p></o:p> 2. 국적상실의 원인 및 연월일을 증명하는 서류(외국 국적을 취득한 때에는<o:p></o:p>  그 국적을 취득한 원인 및 연월일을 증명하는 서류)<o:p></o:p>  <o:p></o:p>                                               년        월        일<o:p></o:p>  <o:p></o:p>                                  신  고  인                       (인)<o:p></o:p>                                 (법정대리인)<o:p></o:p>  <o:p></o:p> 법 무 부 장 관    귀 하<o:p></o:p>                                                                                                                                                          <o:p></o:p></TD></TR> <TR style="HEIGHT: 16.55pt"> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: windowtext 0.5pt solid; WIDTH: 39.55pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 16.55pt; BACKGROUND-COLOR: transparent; mso-border-top-alt: solid windowtext .5pt" width=53 colSpan=2> 접수<o:p></o:p> 일자<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 65pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 16.55pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=87 colSpan=2>  <o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 35pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 16.55pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=47 colSpan=2> 수리<o:p></o:p> 일자<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 65pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 16.55pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=87 colSpan=4>  <o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 35pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 16.55pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=47> 고시<o:p></o:p> 일자<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 75pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 16.55pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=100 colSpan=3>  <o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 35pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 16.55pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=47> 고시<o:p></o:p> 번호<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 70pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 16.55pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=93 colSpan=4>  <o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 35pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 16.55pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=47> 확인<o:p></o:p></TD> <TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 4.95pt; BORDER-TOP: #c0c0c0; PADDING-LEFT: 4.95pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #c0c0c0; WIDTH: 75pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 16.55pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" width=100>  <o:p></o:p></TD></TR> <TR height=0> <TD style="BORDER-RIGHT: #c0c0c0; BORDER-TOP: #c0c0c0; BORDER-LEFT: #c0c0c0; BORDER-BOTTOM: #c0c0c0; BACKGROUND-COLOR: transparent" width=33></TD> <TD style="BORDER-RIGHT: #c0c0c0; BORDER-TOP: #c0c0c0; BORDER-LEFT: #c0c0c0; BORDER-BOTTOM: #c0c0c0; BACKGROUND-COLOR: transparent" width=20></TD> <TD style="BORDER-RIGHT: #c0c0c0; BORDER-TOP: #c0c0c0; BORDER-LEFT: #c0c0c0; BORDER-BOTTOM: #c0c0c0; BACKGROUND-COLOR: transparent" width=60></TD> <TD style="BORDER-RIGHT: #c0c0c0; BORDER-TOP: #c0c0c0; BORDER-LEFT: #c0c0c0; BORDER-BOTTOM: #c0c0c0; BACKGROUND-COLOR: transparent" width=27></TD> <TD style="BORDER-RIGHT: #c0c0c0; BORDER-TOP: #c0c0c0; BORDER-LEFT: #c0c0c0; BORDER-BOTTOM: #c0c0c0; BACKGROUND-COLOR: transparent" width=40></TD> <TD style="BORDER-RIGHT: #c0c0c0; BORDER-TOP: #c0c0c0; BORDER-LEFT: #c0c0c0; BORDER-BOTTOM: #c0c0c0; BACKGROUND-COLOR: transparent" width=7></TD> <TD style="BORDER-RIGHT: #c0c0c0; BORDER-TOP: #c0c0c0; BORDER-LEFT: #c0c0c0; BORDER-BOTTOM: #c0c0c0; BACKGROUND-COLOR: transparent" width=7></TD> <TD style="BORDER-RIGHT: #c0c0c0; BORDER-TOP: #c0c0c0; BORDER-LEFT: #c0c0c0; BORDER-BOTTOM: #c0c0c0; BACKGROUND-COLOR: transparent" width=40></TD> <TD style="BORDER-RIGHT: #c0c0c0; BORDER-TOP: #c0c0c0; BORDER-LEFT: #c0c0c0; BORDER-BOTTOM: #c0c0c0; BACKGROUND-COLOR: transparent" width=33></TD> <TD style="BORDER-RIGHT: #c0c0c0; BORDER-TOP: #c0c0c0; BORDER-LEFT: #c0c0c0; BORDER-BOTTOM: #c0c0c0; BACKGROUND-COLOR: transparent" width=7></TD> <TD style="BORDER-RIGHT: #c0c0c0; BORDER-TOP: #c0c0c0; BORDER-LEFT: #c0c0c0; BORDER-BOTTOM: #c0c0c0; BACKGROUND-COLOR: transparent" width=47></TD> <TD style="BORDER-RIGHT: #c0c0c0; BORDER-TOP: #c0c0c0; BORDER-LEFT: #c0c0c0; BORDER-BOTTOM: #c0c0c0; BACKGROUND-COLOR: transparent" width=13></TD> <TD style="BORDER-RIGHT: #c0c0c0; BORDER-TOP: #c0c0c0; BORDER-LEFT: #c0c0c0; BORDER-BOTTOM: #c0c0c0; BACKGROUND-COLOR: transparent" width=67></TD> <TD style="BORDER-RIGHT: #c0c0c0; BORDER-TOP: #c0c0c0; BORDER-LEFT: #c0c0c0; BORDER-BOTTOM: #c0c0c0; BACKGROUND-COLOR: transparent" width=20></TD> <TD style="BORDER-RIGHT: #c0c0c0; BORDER-TOP: #c0c0c0; BORDER-LEFT: #c0c0c0; BORDER-BOTTOM: #c0c0c0; BACKGROUND-COLOR: transparent" width=47></TD> <TD style="BORDER-RIGHT: #c0c0c0; BORDER-TOP: #c0c0c0; BORDER-LEFT: #c0c0c0; BORDER-BOTTOM: #c0c0c0; BACKGROUND-COLOR: transparent" width=13></TD> <TD style="BORDER-RIGHT: #c0c0c0; BORDER-TOP: #c0c0c0; BORDER-LEFT: #c0c0c0; BORDER-BOTTOM: #c0c0c0; BACKGROUND-COLOR: transparent" width=13></TD> <TD style="BORDER-RIGHT: #c0c0c0; BORDER-TOP: #c0c0c0; BORDER-LEFT: #c0c0c0; BORDER-BOTTOM: #c0c0c0; BACKGROUND-COLOR: transparent" width=27></TD> <TD style="BORDER-RIGHT: #c0c0c0; BORDER-TOP: #c0c0c0; BORDER-LEFT: #c0c0c0; BORDER-BOTTOM: #c0c0c0; BACKGROUND-COLOR: transparent" width=40></TD> <TD style="BORDER-RIGHT: #c0c0c0; BORDER-TOP: #c0c0c0; BORDER-LEFT: #c0c0c0; BORDER-BOTTOM: #c0c0c0; BACKGROUND-COLOR: transparent" width=47></TD> <TD style="BORDER-RIGHT: #c0c0c0; BORDER-TOP: #c0c0c0; BORDER-LEFT: #c0c0c0; BORDER-BOTTOM: #c0c0c0; BACKGROUND-COLOR: transparent" width=100></TD></TR></TBODY></TABLE>  <o:p></o:p>