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Application Form

Please complete all sections and print neatly in


BLOCK LETTERS.

Return scanned copies of this form and attachments to:


International Office, Kyungdong University, Korea
Phone: +82 33 639 0513
Fax: +82 33 639 0509

Include all the documents required together


with certified / notarized evidence of academic
qualifications and transcripts, proof of language
proficiency.

Email: info@kduniv.ac.kr
http://www.k-global.ac.kr

1. Personal Details

Mr

Miss

Ms

Single

Marital Status
Date of Birth

Given Name

Passport Number
Yes

Birth If yes, indicate your visa category


Skype

No

Divorced

dd/mm/yyyy

Family Name

Do you hold a current Korean visa?

Married

Country of
Citizenship

Facebook

Email

2. Permanent Address & Contacts in home country (e.g. your parents for emergency contact)

Full address
Telephone

Email

Facsimile

Mobile phone

3. Contact Address

Full address
Telephone

Email

Facsimile

Mobile phone

4. Language Proficiency

English is my first language

Yes

No

I have undertaken the previous studies where the language of instruction was English

Yes

No

Yes

No

Pease give details and supply documentation


I have taken an English or Korean Language Test (e.g. TOFEL, IELTS, TOPIK) within the past two years
Test Name
d Test
d / mDate
m / y y y yTest

Score

5. The Medium of Instruction for My Study in Korea

Korean

English

6. Proposed language, undergraduate or postgraduate programs


Choose and write the names of the programs of your choice (for example, Korean language +. Bachelor of Business)
Course 1: Korean Language Course of 1 year
Course 2 : Degree Program
7. Academic Records of previous studies
Please attach certified copies of transcripts of all academic records (A certified copy means a stamped photocopy signed by a public notary or
institution representative being a true and accurate record of the original documents.)
Name of High School
Country / State

Complete

Ye
s

No

Complete

Ye
s

No

Language of Instruction
Name of Qualifications (e.g., diploma or
degree)
Name of School
Country / State
Language of Instruction
8. Financial Sponsor
Name of sponsor (correct spelling)
Relationship

father

mother

brother

sister

myself

other
Other: Please explain

9. Application Checklist Have you


completed all sections of this application form?
attached certified documentary evidence of all
academic studies undertaken?
attached certified documentary evidence of
language proficiency?
attached Bank balance & Bank statement?
attached a copy of your passport?
attached your Personal Statement & Study Plan?
letters from two Guarantors? (if any)
certificate of Family Relation?
attached Student Code of Conducts
signed?
attached Medical Check-up report?
attached Affidavit of Support?

10. Declaration
I certify that the information in my application is true and
accurate. I understand that any false statements can lead to
the termination of my relationship with the university .