(Registration Number)

(Application for Exchange Student)

photo
Do not write in this area.
(Computer Typing only in Korean or English)

(Study Duration)
One semester
Two semester

(Major)
(Personal Information)
1. (Name)
(Korean)
(ng!ish)
(Nati"e)
#. (Nationa!ity) $
%. !" $ & &
('!a(e o) *irth) (+ity) & #(State) & $(+ountry)
,. %&(Se-) $ '(Ma!e) & ((.ema!e)
/. ")*+ $ & &
(Date o) *irth) )(0ear) *(Month) +(Date)
1. (,('assport Number)
2. -./0(Status o) 3isa) $
4. 123$ No.
(5!ien Registration)

6. 4+/$ Date o) ntry
17. 567(5ddress in 8ome +ountry)

(9mai!)
89('hone) $
11. :67(5ddress in Korea)


89('hone) $
(9mai!)$
1#. ;< = >? @AB(+onta(t 'oint in Korea)
(Name) $
89(Te!) $
CD(Re!ationship) $
E : F2GHI 3 (Educational ac!ground : Since "igh School)
GJK
GL
(School name)
67
(Address)
4+
(From)
MN+
(To)

(Year)
MNOP
(Graduation
O,X)
@AB
(Tel.)
F2
(Secondary
school)
;
(University)
;
(Graduate)
(Application for the #ormitory)
1
(: want to !i"e in the dormitory.)
(: don;t want to !i"e in the dormitory.)
($amily %em&ers)

(Re!ation)
(Name)

(Date o) *irth)

(5ge)

(O((upation)
(Korean) !(ng!ish)
"#$
(Nati"e !anguage)
%&'( ) *+* ($inancial Affida'it)
, -. %&'(/ )0 12 34 567. 8:ndi(ate the person< in(!uding yourse!)(or organi=ation) who wi!! be responsib!e )or
your tuition )ee and !i"ing e-penses.9
12 :; 3(Name) $
(Re!ationship) $
$ 122 '<(O((upation) $
=>(5ddress) $

?@AB('hone No.) $
, C2D E3 FG. %&3H I J. '()4 KL (: guarantee that : wi!! be responsib!e )or this app!i(ant;s tuition
)ee and !i"ing e-penses during his&her study at your uni"ersity.)
M(Name) $
*(Signature) $
N(Date) $ & &
NO(0ear) (Month) (Date)
C2D P F*. QR ST4 U2.
: (erti)y that the in)ormation pro"ided on this )orm is a((urate and (omp!ete.
/ /
N (%onth ( #ate ( )ear) * (Signature)
#
QR
/ 7 T Q (Self Introduction)
UV W%XYZ (!lease "ill out in #orean or $n%lish)
%L(&ame) (&ationality)
")*+
('ate o" (irth)

('e)artment o" study)
*. $[CD(Family +n"ormation)
. E(Academic and !ersonal (ac,%round)
-. \] ^ _(.o//ies and !re"erred 0ecreational Activities)
1. `a bc(Future !lan)
2. (Any Other +n"ormation that you "eel is relevant)
%
(Study Plan)
%L(&ame) (&ationality)
")*+
('ate o" (irth)

('e)artment o" Study)
*. def;GgQ XF/ XV h
(!ur)ose o" study at #umoh &ational +nstitute o" Technolo%y)
. 8fXF/ XV Pi ^ jk l
(3hat ma4or do you 5ant to study here and 5hy did you select it6)
-. def;Gm GJK nDo
(3hat study )lan do you ho)e to achieve 5hile at #umoh &ational +nstitute o"
Technolo%y)
,