Application for Payment of Monetary Rewards for Reporting Violations of the Motor Vehicle Management Act

Application for Payment of Monetary Rewards

for Reporting Violations of the Motor Vehicle Management Act

Applicant

Name

Resident Registration Number

Address

(☎ )

E-mail

Bank

Account Number

Details of report

Date of Report

hour minutes month day year

Alleged Offender

Name

(Company name)

Address

Details of Report

(※ Use a separate sheet if necessary)

I hereby report the above-stated violation(s) of the Motor Vehicle Management Act, pursuant to Article 53-2 of the aforementioned Act, and apply for monetary rewards.

Month Day Year

Applicant: (Seal)

the head of ○○ Gu

Attached documents: Supporting documents of a violation of subparagraph 13 of Article 79, subparagraph 1 of Article 80, subparagraph 5-3 of Article 8, subparagraph 2 of Article 81, subparagraph 7-2 of Article 81, or Article 84 (2) 20 of the Motor Vehicle Management Act.

210mm×297mm[plain paper 60g/㎡ (recycled)]