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Fill out the application form, save it into your PC (Alt+F+A), and then attach it to the “Attach Application Form” box onthe [Online Application] window.
Make sure that you save the file name in English.
 
민원서류접수번호
:
접수일시
:
처리기한
:
처리과
 
기록등록번호
 
(Application for Petition) 
(Application for Petition)
Petiti-oner
 
Petiti-oner
 
Petiti-oner
 
성명
Name
주민번호
 
Resident ID No.
주소
Address
전화번호
 Telephone No.
근무한기간
 Total WorkingPeriod
~
year month date ~ year month date
휴대번호
Mobile Phone No.
Petitio
-
nee
Petitio
-
nee
Petitio
-
nee
Petitio
-
nee
사업체명
Name of Company
상시근로자수
Number of workers
소재지
(
사업장폐업시대표자주소
)
Add. of Company(Add. of employer in case of closure of workplace)
 
전화번호
 TelephoneNo.
대표자
Employer
대표자
Employer
성명
Name
자택번호
Home Tel. No.
주민번호
Resident IDNo.
휴대번호
MobilePhone No.
of 00

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