2018 GLOBAL KOREA SCHOLARSHIP

Korean Government Scholarship Program

Application Guidelines for
Undergraduate Degrees
(via Korean Embassies)

1. Objectives

The Korean Government Scholarship Program for undergraduate degrees is designed to provide international
students with opportunities to study at higher educational institutions in Korea for Bachelor-level degrees, which
in turn will contribute to promoting the international exchange in education and to deepening the mutual
friendship among countries.

2. Total Number of Scholars to Be Selected: 95 [from 64 countries]

Only those who hold citizenship of the countries below are eligible to apply.
Reserved Reserved Reserved Reserved
Country Country Country Country
Quota Quota Quota Quota
Equatorial
Afghanistan 1 1 Mexico 4 Singapore 1
Guinea
Angola 1 Ethiopia 3 Mongolia 3 Sri Lanka 1

Azerbaijan 1 Gabon 1 Mozambique 1 Sweden 2

Bangladesh 1 Ghana 1 Myanmar 1 Tajikistan 1

Bolivia 1 Guatemala 1 Nepal 1 Tanzania 1

Brazil 4 India 2 Nigeria 1 Thailand 2

Bulgaria 1 Indonesia 3 Pakistan 1 Timor-Este 2

Trinidad and
Bhutan 1 Iran 2 Panama 1 1
Tobago
Cambodia 1 Iraq 1 Paraguay 1 Turkey 1

Chile 1 Japan 2 Peru 1 Turkmenistan 2

Colombia 3 Jordan 1 Philippines 1 Uganda 2

Congo(DRC) 1 Kazakhstan 2 Poland 1 Ukraine 2

Dominican
1 Kenya 3 Russia 2 Uruguay 1
Republic
Ecuador 1 Kyrgyzstan 2 Rwanda 1 Uzbekistan 2

Egypt 1 Laos 1 Senegal 1 Venezuela 1

El Salvador 1 Malaysia 1 Sudan 1 Vietnam 3

One placement is reserved for overseas Koreans within each of the highlighted countrys
scholarship quota. (e.g., For Brazil, 1 placement is reserved for those of overseas Koreans, and 3
placements are available to general applicants.)

1
3. Academic Programs: Bachelors Degree Program (4 years) after preliminary Korean Language Program (1 year)
Scholars must take the mandatory Korean language training at a language institution that will be
designated by NIIED. The institution will be specified in the letter of invitation after the announcement of
final successful candidates.
Scholars must attain a certain level on TOPIK (Test of Proficiency in Korean) as required by NIIED before the
completion of the one-year Korean language program. Otherwise, scholars are not allowed to proceed to
the degree program.
Scholars with level 5 or 6 on TOPIK will be exempt from the language program and must begin their
Bachelors degree program from Spring 2018
Scholars who receive TOPIK level 5 or 6 during the first 6 months of the language program may start their
degree program in the Fall 2018 semester.

4. Available Universities and Fields of Study : 4-Year Bachelors degree programs offered at the universities below.

Chonbuk National
Hallym University Korea University Silla University
University
Chonnam National
Handong Global University KOREATECH Sogang University
University
Hankuk University of Foreign Kumoh National Institute of Sookmyung Womens
Chosun University
Studies Technology University
Chung-Ang University Hannam University Kyunghee University Soonchunhyang University
Chungbuk National Kyungpook National
Hanyang University Soongsil University
University University
Chungnam National
Hoseo University Kyungsung University Sun Moon University
University
Daegu University Inha University Myongji University Sungkyunkwan University

Dankook University Jeju National University Namseoul University University of Seoul

Dong-A University Jeonju University Pai Chai University University of Ulsan

Dongguk University
KAIST Pukyong National University UNIST
(Gyeongju Campus)
Dongguk University
Keimyung University Pusan National University Wonkwang University
(Seoul Campus)

Dongseo University Kongju National University Sangmyung University Yeungnam University

Ewha Womans University Konkuk University Semyung University Yonsei University

Seoul National University of
Gachon University Konyang University
Science and Technology
<58 universities>
Gyeongsang National
Kookmin University Seoul National University
University

Attention! Any degree program which takes more than 4 years to complete is NOT AVAILABLE
under this scholarship program. All applicants cannot choose such degree programs (Examples:
medicine, dentistry, architecture, and pharmacy)
For more details on the available fields and majors, refer to the University Information file that
is available to access in the GKS Notice board, on the Study in Korea website
(www.studyinkorea.go.kr). All applicants must choose a major listed on the University
Information.

2
5. Qualifications: Prospective applicants must meet all of the following conditions.

(1) CITIZENSHIP: An applicant and his or her parents must be citizens of one the countries listed on the above
chart in #2 of this guideline.
Attention! Neither the applicant nor the parents should hold the Korean citizenship.
Exception(Only for those holding Japanese Citizenship): Individuals whose parents hold a Special
Permanent Residency Permit within Japan while holding Korean Citizenship may be deemed eligible to
apply.

(2) AGE: An applicant must be under age 25 as of March 1, 2018 (Should be born after March, 1, 1993).

(3) HEALTH: An applicant must be in good health, both physically and mentally.
Those with disabilities, but in good mental and physical health, are eligible to apply.
Those with severe illness are NOT ELIGIBLE to apply.

(4) LEVEL OF EDUCATION: An applicant must have graduated or be expected to graduate from a high school as of
March 1, 2018
Those who have already achieved a Bachelors degree or a higher degree are NOT ELIGIBLE to apply.
Those who have graduated or are expected to graduate from a high school in Korea are NOT ELIGIBLE to
apply.

(5) GRADES: An applicant must either have the cumulative grade point average (C.G.P.A.) of 80% (out of 100%), or
be ranked within the top 20% throughout the entire high school period.
C.G.P.A. should be 2.64/4.0, 2.80/4.3, 2.91/4.5, 3.23/5.0 or higher [see Appendix 3]
If an applicants high school has an evaluation system different from the above scales, see 7-(2)-.

(6) An applicant should never have been awarded with any scholarship programs from Korea for an undergraduate
degree program.

(7) An applicant must have no limitations in travelling abroad

(8) Applicants who have proficiency in the Korean or English language will be given preference.

(9) Descendants of the Korean War veterans will be given preference.

(10) Engineering and Science majors will be given preference.

(11) Applicants from low income families or underprivileged backgrounds will be given preference.

(12) Applicants who are confirmed to be third generation overseas Koreans will be given preference.

(13) An applicant is restricted to apply either for the Embassy Track or for the Regional University Track.
Applicants who apply for both tracks will be automatically disqualified and their applications will be
eliminated.

3
6. Scholarship Benefits

(1) Scholarship Period: March 1, 2018 ~ February 28, 2023 (1-year Language + 4-year Degree Program)

(2) Scholarship Benefits

Airplane Ticket or Airfare: The scholarship covers an economy class flight with the shortest route
between a scholars country and Korea. A one-way ticket to Korea will be offered to each scholar at the
beginning of the scholarship program; another one-way ticket from Korea will be offered for those who
complete their studies under the scholarship program.
Monthly Stipend: 800,000 KRW per month
Tuition: The tuition fee up to 5 million KRW is covered by NIIED. In case the tuition is higher than 5 million
KRW, the exceeding amount is covered by the host university. The university entrance fee is covered by
the host university.
Settlement Allowance: 200,000 KRW upon arrival
Scholarship Completion Grants: 100,000 KRW upon completion of studies
Korean Language Training: The full cost for the 1 year is covered by NIIED and the language institution.
Medical Insurance: Scholars are covered by health insurance for major accidents and illnesses during
their scholarship period.
Korean Proficiency Grants: Scholars with level 5 or 6 on TOPIK will receive 100,000 KRW won per month
during the degree program.

(3) Notes
NIIED does not cover the expenses for the domestic travel both in a scholars home country and in Korea.
Airfare for entry into Korea will not be provided to a grantee that has been staying in Korea as of the date
of announcement of successful candidates
NIIED does not cover the expenses for travelers insurance.
The medical fee is to be reimbursed through the insurance company to a scholar after he or she pays first.
However, the expense for dental care or chronic disease will not be covered.
In case a scholar withdraws from the scholarship program within the first 3 months after entering Korea,
he or she must return all the scholarship benefits offered, which includes the entry airfare, settlement
allowance, monthly stipend, tuition, language training fees, Korean proficiency grants, and medical
insurance.
The return flight ticket and the Scholarship Completion Grants will not be offered for those who withdraw
from the scholarship program.
If a student temporarily leaves Korea during the language program, the allowance will not be given during
the period student was absent in Korea. The allowance will not be given if a students leave of absence
period exceeds 30days during the degree program.

7. Required Documents

(1) Required Documents: 1 set of the original documents below, and 3 sets of the photocopies of the original
Completed Application Form (Form 1)
NIIED Pledge (Form 2)
Personal Statement (Form 3)
Study Plan (Form 4)
Two Recommendation Letters (Form 5)
Must be from two separate recommenders.
The letters must be written by someone who can give in-depth assessment on the applicants abilities,
including a high school teacher, principal, or academic advisor.

4
 Completed Self Medical Assessment (Form 6)
Graduation Certificate of High School
Those who are expected to graduate may submit a provisional graduation certificate of high school.
High School Grade Transcript (including a description of the schools grading system)
Certificates of Citizenship of the Applicant and Parents (Examples: a birth certificate, a government-
issued certificate indicating the parent-child relationship, a family register, or parents passport copies)
Awards (Optional)
Applicants with certified scores on their proficiency in Korean or in English may be given preference.
Some examples include the following:
Proficiency in Korea: TOPIK (Test of Proficiency in Korean)
Proficiency in English: TOEFL, TOEIC, or IELTS Academic (TOEFL ITPs are not acceptable)
Certificate of Health (Form 7, only for candidates who successfully pass the 2 nd round of selection)
The certificate of health must be completed and signed by a doctor.
Copy of the Applicants Passport (only for candidates who successfully pass the 2nd round of selection)
Overseas Korean Proof Documents and supporting documents indicating the generation status
(applicable to Overseas Koreans Only)

(2) NOTES
The total 4 set of application documents (1 set of the original & 3 sets of the photocopies) should be
placed in separate envelopes. The original set must be marked as Original on its envelope.
Recommendation letters should be sealed by the recommenders and submitted with the seals unbroken.
Original documents should be submitted. However, if copies are submitted, copies must be authenticated
by the issuing institution, confirming that they are the same with the originals.
The applicants name on the application form MUST be identical to the applicants passport name.
If there is any inconsistency in the applicants name or birth date on submitted documents, further
evidential document must be submitted as verification.
Any applicant, who submits a provisional graduation certificate at the time of applying, must submit his or
her official graduation certificate of high school upon arrival in Korea, no later than March 1, 2017.
The application documents must be arranged in the same order as written on the Checklist in the FORM
1. Each document may be stapled. However, DO NOT staple the entire application documents altogether,
or put each document in a separate folder.
Application form and all other materials should be filled out either in Korean or in English. Any document
issued in languages other than Korean or English MUST include official notarized translations.
All documents submitted must be A4 sized. If the document is smaller, attach it to A4 sized paper; if
bigger, fold it to make it A4 sized.
The high school grade transcript must contain a description of the schools grading system. In case the
transcript does not have information on the applicants rank or percentile score, an applicant must
submit an additional official certificate issued by the high school, confirming that the applicants
academic achievement meets the requirement written on 5-(5) above.
All documents must be numbered and labeled on the top right corner. (Example.
Graduation Certificate of High School)
Mailing address should be stated in full including the postal-code.
Submitted documents will not be returned to the applicant. The applicants are advised to make their own
copies of all application documents.
Incomplete or incorrect documents will result in the disqualification of an applicant.

8. Application Deadline: To be decided by the Korean Embassies [see Appendix 1]

For details on the application deadline and the submission of application documents, applicants should
contact the Korean Embassy, the Korean Education Center, or the Korean Cultural Center in their home
countries, or in the neighboring countries if there is no Korean diplomatic missions in ones home country.
The first round of selection will be conducted by the Korean Embassy.

5
 All applications submitted to NIIED by individual applicants or by the foreign embassies in Korea will NOT
BE ACCEPTED and will be discarded.

9. Selection Procedures

Period Details

[1st ROUND]
September, 2017 Each Korean Embassy (KE) announces call for applications.
Applicants must check the announcement from KE, including the deadline.

KE conducts the first round of selection.

September ~
Applicants submit the application documents to KEs in respective countries.
October
KEs will conduct the interviews on applicants.

November 3 KEs forward the application documents of selected candidates to NIIED.

[2ND ROUND]
NIIED conducts the second round of selection through a selection committee.
November 17
NIIED announces the result of the second round of selection on the GKS Notice board
on www.studyinkorea.go.kr.

Candidates who pass the second round must submit the passport copy and the certificate
December 6
of health (FORM 8) to KE by December 6, 2017.

[3rd ROUND]
NIIED forwards the application documents of the successful candidates to the
universities by November 24, 2017.
November 27 ~ Each university conducts the final round of review for admission, and notifies
December 28 individual candidates of the admission results by December 22, 2017.
Candidates must choose ONE university and notify NIIED of their final choice by
December 28, 2017.

NIIED announces the final successful candidates on the GKS Notice board on
January 5, 2018
www.studyinkorea.go.kr.
KE informs the scholars of their scheduled entry to Korea.
Early February
Scholars must check their entry flight itinerary and make preparations to enter Korea.

Late February Entry to Korea

NOTES
Applicants must follow the NIIEDs regulations throughout the application procedure.
Applicants must choose up to 3 different universities and write their choice in the Forms 1, 4, and 5.
Applicants must choose only ONE department (or major) for each university, as listed on the University
Information.
In choosing the preferred universities and majors, it is advisable to contact the universities in advance for
further information. (See Appendix 2 for the university contact information.)
After the announcement of the 2nd round result, NIIED will forward the candidates documents to the
universities as written on the application forms. All applicants must double-check their choice of preferred

6
 universities on the application form in order to ensure that their application documents are reviewed by
RIGHT and CORRECT universities.
Additional documents might be required to be submitted depending on the university or department,
especially for majors in the field of fine arts, music or physical education. If asked so, the applicants must
submit the requested documents to the university.
Attention! A candidate who fails to receive admission to any one of the three universities will NOT BE
SELECTED as a KGSP scholar.
Transferring to a different university is NOT allowed after the confirmation of an applicants final choice of
a university.
Regardless of university admission, all scholars must achieve the TOPIK level required by NIIED before the
completion of the 1-year Korean language program. Any scholar who fails to do so cannot proceed to his or
her degree program.

10. Other Important Information

(1) Entry
Scholars must arrive in Korea by late February, 2018. In case a scholar does not enter Korea by the
designated date, his or her scholarship will be canceled.
Prior to the arrival, all scholars are advised to study about Korea, Korean language and culture. In
particular, it is advisable that grantees learn as much Korean as possible because most classes at a
Korean university are taught in Korean. Scholars should check with their universities in advance which
language is the medium of communication in the program. Below are some websites that scholars will
find useful in preparing their studies in Korea.

Korean Language Study http://www.sejonghakdang.org

(->KOSNET )

Korean Universities http://www.studyinkorea.go.kr

Korean Culture http://korea.net/

The Korean Embassy abroad http://www.mofa.go.kr

Entry & Residence http://immigration.go.kr.

(2) Housing
Scholars will live in a university dormitory.
The dormitory fee will be deducted out of the monthly stipend by the university.

(3) Cancellation and Temporary Suspension of Scholarship

Cancellation of Scholarship: If a scholar is found engaged in any of the following activities during his or
her stay in Korea, the scholarship will be suspended and then canceled.
When any documents of the scholarship application has been found false;
When a scholar violates the NIIED regulations s/he has pledged to keep;
When a scholar fails to abide by the academic guidelines and regulations set by NIIED;
When a scholar receives disciplinary punishment from the university.

7
 When a scholar acts in a way that harms the reputation of the scholarship and/or the relevant
institutions;
When a scholar fails to reach a TOPIK level required by NIIED within the period of one year language
program;
When a scholar earns less than 2/3 of the registered credits of a semester;
When a scholar leaves Korea for the purpose of joining an exchange program in another country;
When a scholar fails to notify NIIED of re-enrollment without any proper reasons after the end of a
leave of absence;
When a scholar receives three warnings or more;
When a scholar forfeits the scholarship.

Temporary Suspension of Scholarship

During the Korean language program, scholars may leave Korea under the language institutions
approval for up to 2 weeks during the semester and for up to 4 weeks during vacation. For the days
of staying outside of Korea, the monthly allowance will not be given.
During the Associate degree program, scholars may leave Korea for up to 60 days at a time, under the
universitys approval. For the days exceeding 30 days, the monthly allowance will not be given.

11. Contact

(1) Application & Document Submission: Korean Diplomatic Missions (See Appendix 1)

(2) Major & University Admissions: 59 Korean Universities (See Appendix 2)

(3) Other Inquiries: NIIED

Website: www.studyinkorea.go.kr (Scholarships > Government Scholarship > GKS Notice)

E-mail: kgspniied@korea.kr

8
 2018 GLOBAL KOREA SCHOLARSHIP
()

1.

2. : 64 95 ( )

1 1 1 3

1 3 1 3

1 1 2 (DRC) 1

1 1 1 2

1 1 2 1

() 1 4 2 1

2 1 1 2

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2 1 1 2

1 2 2 1

1 1 3 1

4 1 2 1

1 1 1 1

3 1 1 1

1 1 2 1

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10 ( 1 )

3. : 1 4
( )
1 TOPIK
TOPIK 5 2018 3
6 TOPIK 5 2018 9

4. : 58 4
4 (, , , )
GKS (www.studyinkorea.go.kr) University Information .
University Information

9
<>
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5.
(1) ( )

(2) 2018 3 1 , 25 (1993 3 1 )
(3)
(3)

(4) 2018 3 1

(5) (C.G.P.A.) 80% 20%
C.G.P.A. 2.64/4.0, 2.80/4.3, 2.91/4.5, 3.23/5.0 [Appendix 3 ]
, 7-(2)-
(6)
(7)
(8)
(9)
(10)
(11) ,
(12) 3 (3 )
(13)
2

6.
(1) : 2018.3.1 ~ 2023.2.28 ( 1, 4)
(2)
:

: 800,000
: ,
: 200,000
: 100,000
:
: , ,
(TOPIK 5 ) 100,000

10
(3)





3 , ( , , ,
)
, 30

7. : 1 3
(1)
1 (Form 1)
(Form 2)
(Form 3)
(Form 4)
2 [Form 5, (, , ) 2 1]
(Form 6)
1 1
(2018.3.1 )
1 ( )

( , )
( )
( , -TOPIK / -TOEIC, TOFLE,
IELTS Academic * TOFLE )
(Form 7, 2 )
(2 )
( )

(2)
3 :

. ,


,



FORM 1 , 1
,
,
;
A4 . A4 A4
, A4 A4
,
, ( 5-(5))
( )

11
 () Graduation Certificate of High School

.

8. : [Appendix 1 ]
(1) ( )
( , )

(2) 1 :
NIIED

9.

( KE) KE
~ 2017.9
KE
[1] KE
2017. 9 ~ KE
2017.10 1 KE (NIIED )

~ 2017.11.3 KE 1
[2] NIIED , NIIED 2
( www.studyinkorea.go.kr (NOTICE)
2017.11.17
2 , 2017.12.6 KE
(KE NIIED )
[3]
2017.11.27~ - NIIED 2 : 2017.11.24
2017.12.28 - ( ), : ~ 2017.12.22
2 NIIED : 2017.12.28
2018.1.5 NIIED
KE
2018.1~2

2018.2.19~2.20

(1) ( )

FORM 1 FORM 4, FORM 5 3 .
1 [2018 KGSP-U University information ]
,
[Appendix 2 ]
2
,

,
.
,


TOPIK

12

10.
(1)
2018.2 .

.
.
,

http://www.sejonghakdang.org (->KOSNET )
http://www.studyinkorea.go.kr
http://korea.net
http://www.mofat.go.kr
http://immigration.go.kr
(2)


(2)

-
-
-
-
-
- TOPIK
- 2/3

- 3
-
- 3
-

-
2, 4 .

- 1 60 .
30 , 30

11.
(1) : ( ) ( )
[Appendix 1 ]
(2) : 58 [Appendix 2 ]
(3)
- http://www.studyinkorea.go.kr ( Website: http://www.niied.go.kr)
[English version : Global Korea Scholarship NOTICE]
13
 - : kgspniied@korea.kr
[Appendix 1 - Contact Points - Application for the Program]
Korean Embassies
Applicants from the countries marked with * should apply for the program through the APPROPRIATE Korean
Embassy (or Korean Education Center). (see Remarks)
No. Country TEL FAX Email

1 Afghanistan 93-20-210-2481 93-20-210-2725 kabul@mofa.go.kr

2 Angola 244-222-006-067~8 244-222-006-066 Korembassy_angola@mofa.go.kr

3 Azerbaijan 994-12-596-7901~3 994-12-596-7904 azeremb@mofa.go.kr

4 Bangladesh 880-2-5881-2088~90 880-2-984-3871 embdhaka@mofa.go.kr

5 Bolivia 591-2-211-0361~3 591-2-211-0365 coreabolivia@gmail.com

6 Brazil 55-61-3321-2500 55-61-3321-2508 emb-br@mofa.go.kr

7 Bulgaria 359-2-971-2181/2536 359-2-971-3388 Korean-embassy@mofa.go.kr

8 Bhutan* 880-2-5881-2088~90 880-2-984-3871 embdhaka@mofa.go.kr

9 Cambodia 855-23-211-900~3 855-23-219-200 cambodia@mofa.go.kr

10 Chile 56-2-228-4214 56-2-206-2355 embajadadecoreaenchile@gmail.com

11 Colombia 57-1-616-7200 57-1-610-0338 embacorea@mofa.go.kr

12 Congo (DRC) 243-15-03-5001~4 amb-congo@mofa.go.kr

13 Dominican Republic 1-809-482-6505 1-809-482-6504 embcod@mofa.go.kr

14 Ecuador 593-2-290-9227~9 593-2-250-1190 ecuador@mofa.go.kr

15 Egypt 20-2-3761-1234~7 20-2-3761-1238 egypt@mofa.go.kr

16 El Salvador 503-2263-9145 503-2263-0783 embcorea@mofa.go.kr

17 Equatorial Guinea 240-333-090-775 Malabo@mofa.go.kr

18 Ethiopia 251-113-728/111~4 251-113-728-115 ethiopia@mofa.go.kr

19 Gabon 241-0530-1900 241-0173-9905 gabon-ambcoree@mofa.go.kr

20 Ghana 233-302-77-6157/7533 233-302-77-2313 ghana@mofa.go.kr

21 Guatemala 502-2382-4051~4055 502-2382-4057~8 embcor.gt@mofa.go.kr

22 India 91-11-4200-7000 91-11-2688-4840 india@mofa.go.kr

23 Indonesia 62-21-2967-2555 62-21-2967-2556 koremb_in@mofa.go.kr

24 Iran 98-21-8805-4900~4 98-21-8805-4899 emb-ir@mofa.go.kr

25 Iraq 964-077-0725-2006 kembiraq@mofa.go.kr

26 Japan 81-3-3452-7611~9 81-3-3452-7423 General_jp@mofa.go.kr

27 Jordan 962-6-593-0745 962-6-593-0280 Jordan@mofa.go.kr

28 Kazakhstan 7-717-335-9033 Korean Education Center in Almaty

29 Kenya 254-20-361-5000 254-20-374-7772 emb-ke@mofa.go.kr

30 Kyrgyzstan 996-312-65-2073 Korean Education Center in Bishkek

14
31 Lao PDR 856-21-352-031~3 852-21-352-035 laos@mofa.go.kr

32 Malaysia 603-4251-2336 603-4252-1425 korem-my@mofa.go.kr

33 Mexico 52-55-5202-9866 52-55-5540-7446 embcoreamx@mofa.go.kr

34 Mongolia 976-7007-1020 976-7007-1021 kormg@mofa.go.kr

35 Mozambique 258-21-495-625 258-21-495-638 embassy_mz@mofa.go.kr

36 Myanmar 95-1-527-142~4 95-1-513-286 myanmar@mofa.go.kr

37 Nepal 977-1-4270172 977-1-4272041 konepemb@mofa.go.kr

38 Nigeria 234-9-461-2701 234-9-461-2702 emb-ng@mofa.go.kr

39 Pakistan 92-51-227-9380~1 92-51-227-9391 pakistan@mofa.go.kr

40 Panama 507-264-8203 507-264-8825 panama@mofa.go.kr

41 Paraguay 595-21-605-606 595-21-601-376 paraguay@mofa.go.kr

42 Peru 51-1-632-5000 51-1-632-5010 peru@mofa.go.kr

43 Philippines 63-2-856-9210 63-2-856-9008 philippines@mofa.go.kr

44 Poland 48-22-559-2900 48-22-559-2905 koremb_waw@mofa.go.kr

45 Russia 7-495-783-2727/2747 7-495-783-2777 embru@mofa.go.kr

46 Rwanda 250-252-577-577 250-252-572-127 koremb-rwanda@hotmail.com

47 Senegal 221-33-824-0672/0687 221-33-824-0695 Senegal@mofa.go.kr

48 Singapore 65-6256-1188 65-6254-3191 info@koreaembassy.org.sg

49 Sudan 249-183-580-031 249-183-580-025 sudan@mofa.go.kr

50 Sri Lanka 94-11-269-9036~8 94-11-269-6699 korembsl@mofa.go.kr

51 Sweden 46-8-5458-9400 46-8-660-2818 Koremb.sweden@mofa.go.kr

52 Tajikistan 992-44-600-2114 992-37-221-2423 tjkorem@mofa.go.kr

53 Tanzania 255-22-266-7539 255-22-266-7509 embassy-tz@mofa.go.kr

54 Thailand 662-247-7537~9 662-247-7535 koembth@gmail.com

55 Timor-Este 670-332-1635/1567 670-332-1636 koreasili@mofa.go.kr

56 Trinidad and Tobago 1868-622-9081 1868-628-8745 Trinidad@mofa.go.kr

57 Turkey 90-312-468-4821~3 90-312-468-2279 turkey@mofa.go.kr

58 Turkmenistan 993-12-94-72-86~88 933-12-94-72-89 korembtm@mofa.go.kr

59 Uganda 256-414-500-197/8 256-414-500-199 emb.kampala@mofa.go.kr

60 Ukraine 380-44-246-3759~61 380-44-246-3757 koremb@mofa.go.kr

61 Uruguay 598-2-628-9374~5 598-2-628-9376 koemur@gmail.com

62 Uzbekistan 998-71-252-3151~3 998-71-140-0248 uzkoremb@mofa.go.kr

63 Venezuela 58-212-954-1270 58-212-954-0619 venezuela@mofa.go.kr

64 Vietnam 84-24-3831-5110 84-24-3831-5117 korembviet@mofa.go.kr

15
[Appendix 2 - Contact Points - Application for University Admission]

Korean Universities
* Country code: 82-
Person
NO University Tel Fax E-mail address
in Charge

1 Chonbuk National University Ms. Hyeseon Choi 63-270-4757 63-270-2099 kgsp@chonbuk.ac.kr

2 Chonnam National University Eunhui CHA 62-530-1270 62-530-1269 gradia@jnu.ac.kr

JEONG NA RA 62-230-6961 62-232-7355 lovelyj6167@chosun.ac.kr

3 Chosun University
KANG GI HEE 62-230-6789 62-232-7355 gkang@chosun.ac.kr

4 Chung-Ang University Yong-Hwa Jang 2-820-6117 2-813-8069 foreignstudent@cau.ac.kr

5 Chungbuk National University Minha Kim 43-261-3841 43-268-2068 minhakim@cbnu.ac.kr

6 Chungnam National University Kwak Yujin 42-821-6591 42-823-5875 open_foreign@cnu.ac.kr

7 Daegu University Kim, Hyun 53-850-5686 53-850-5689 hk0128@daegu.ac.kr

Lee, Byoungmin 31-8005-2154 31-8021-7120 solinter@dankook.ac.kr

8 Dankook University
Kim, Sunho 31-8005-2109 31-8021-7120 skim5385@dankook.ac.kr

9 Dong-A University Brian Kay 51-200-6443 51-200-6445 bk1016@dau.ac.kr

10 Dongguk University Yeonsu Jang 2-2260-3439 2-2260-3879 kgsp@dongguk.edu

Dongguk University
11 Lee, Sang-Yun 54-770-2875 54-770-2385 boby799@dongguk.ac.kr
(Gyeongju Campus)

12 Dongseo University Lee Yoonseo 51-320-2746 51-320-2094 ysleee@dongseo.ac.kr

Ewha Womans University

13 HYEWON CHOI 2-3277-3817 2-364-0208 hwchoi1102@ewha.ac.kr
(http://www.ewha.ac.kr)
14 Gachon University EO, JaeHa 31-750-5824 31-750-5674 jaeha@gachon.ac.kr

15 Gyeongsang National University Mr. Jun Hyeon JO 55-772-0277 55-772-0269 passfi@gnu.ac.kr

16 Hallym University Song Mingeun 33-248-1341 33-248-1349 colorfic@hallym.ac.kr

17 Handong Global University Esther KIM 54-260-1806 54-260-1769 eskim@handong.edu

Hankuk University of Foreign

18 Hye young Lee 2-2173-2066 2-2173-2877 hylee@hufs.ac.kr
Studies

19 Hannam University Jung Hyunkung 42-629-7923 42-629-7779 hnujpn@hnu.kr

JungIn Choi 2-2220-2444 2-2220-1798 cjchoi@hanyang.ac.kr

20 Hanyang University
Claire Eom 2-2220-2446 2-2220-1798 isonglee32@hanyang.ac.kr

21 HOSEO University Young Hwan Cho 41-540-9522 41-540-9524 yh.cho@hoseo.edu

22 INHA University Soo Hwan, MUN 32-860-8250 32-863-2930 overowen@inha.ac.kr

23 Jeju National University Lee Junghyo 64-754-8242 64-754-8247 intl2@jejunu.ac.kr

Jeonju University
24 Mr. Hyuk-joo Lee 63-220-2887 63-220-2075 holylove@jj.ac.kr
(http://www.jj.ac.kr)

16
 Jeonju University
Mr. Jong-Sung Park 63-220-2122 63-220-2075 jspark@jj.ac.kr
(http://www.jj.ac.kr)
Jeonju University
Mr. Jae-hyun Kim 63-220-3285 63-220-2075 jspark@jj.ac.kr
(http://www.jj.ac.kr)
Jeonju University
Mr. Chung Kwon Lee 63-220-2705 63-220-2075 cklee@jj.ac.kr
(http://www.jj.ac.kr)
KAIST
25 Eung Song Ko 42-350-4802 42-350-2420 esongko@kaist.ac.kr
(http://www.kaist.edu)

26 Keimyung University Jinmyoung Kim(Mr.) 53-580-6027 53-580-6025 kim1613@kmu.ac.kr

Kongju National University Lee, Inhaeng 41-850-8015 41-850-8903 ipsi@kongju.ac.kr

27 (http://www.kongju.ac.kr)
(http://english.kongju.ac.kr) Park, Jinyeo 41-850-8054 41-850-8058 jinyeo91@kongju.ac.kr

Konkuk University
28 Han, Min Young 2-2049-6204 2-2049-6214 myhan81@konkuk.ac.kr
(http://eng.konkuk.ac.kr)

29 Konyang University Kim Ho-seon 41-730-5135 41-730-5383 hoseon1215@konyang.ac.kr

30 Kookmin University Shin, Hye-in 2-910-5835 2-910-5830 enterkmu@kookmin.ac.kr

31 Korea University Julie Yoo 2-3290-1151 2-3290-5820 jeonghyoo@korea.ac.kr

32 KOREATECH Selina Lee 41-560-1025 41-560-2509 inter@koreatech.ac.kr

Kumoh National Institute Of

33 Hyejin Kim 54-478-7216 54-478-7222 hjkim@kumoh.ac.kr
Technology
Kyung Hee University
Mi-Youn HAN 2-961-9286 2-961-2230 globalcenter@khu.ac.kr
(Seoul Campus)
34
Kyung Hee University
Seonghwan, JI 31-201-3961~7 31-201-3969 ciss_gc@khu.ac.kr
(Global Campus)
Kyungpook National University
35 (http://www.knu.ac.kr - 53-950-2433 53-950-2419 kgsp@knu.ac.kr
http://en.knu.ac.kr/)

36 Kyungsung University Sarah Cho 51-663-4065 51-663-4069 sarahcho@ks.ac.kr

Myongji University
37 Kang, So Young 2-300-1511 2-300-1516 sykang@mju.ac.kr
(http://www.mju.ac.kr)
Seomoon Chan 41-580-2774 41-582-2290 bse4414@nsu.ac.kr
38 NAMSEOUL UNIVERSITY
Nari Kim 41-580-3572~3 41-582-2290 nkim@nsu.ac.kr

Pyung-rak Choi 80-527-8272 070-4850-8305 cp1217r@pcu.ac.kr

Pai Chai University
39
(http://www.pcu.ac.kr)
Ryan Jongseok Park 42-520-5243 070-4850-8305 ryanpark@pcu.ac.kr

40 PUKYONG NATIONAL UNIVERSITY Jungeun Kim 51-629-6846 51-629-6910 jekim@pknu.ac.kr

41 Pusan National University Hui-jeong YOON 51-510-3854 51-510-3851 gkspnu@pusan.ac.kr

Sangmyung University
42 Kyongrak Park 2-2287-7085 2-2287-0017 krpark@smu.ac.kr
(Seoul Campus)

43 Semyung University Shim Yujin 43 649 1185 43-644-7177 syj81@semyung.ac.kr

Seoul National University of

44 Youngsung Kim 2-970-9220 2-970-9229 admission@seoultech.ac.kr
Science and Technology

45 Seoul National University LEE, SoYoun 2-880-6971 2-873-5021 leesso@snu.ac.kr

46 Silla University Mr. Yun, Inseog 51-999-5512 51-999-5519 isyun@silla.ac.kr

Sogang University
47 Tony(Jae Hyung) Kim 2-705-8621 2-705-8620 jaeh605@sogang.ac.kr
(http://admission.sogang.ac.kr)

17
48 Sookmyung Women's University Alice Kang 2-710-9817 2-710-9285 admission@sm.ac.kr

49 SOONCHUNHYNAG UNIVERSITY LIM, JAESAM 41-530-1693 41-530-1381 sammy@sch.ac.kr

Jongwon Ahn 2-820-0021 2-820-0022 anjw1999@ssu.ac.kr

50 Soongsil University
Jaewhi Han 2-820-0777 2-814-7362 jaewhihan@ssu.ac.kr

Sunmoon University
51 Kyung Min, Lee 41-530-2032 41-530-2976 kmlee@sunmoon.ac.kr
(http://www.sunmoon.ac.kr)

52 Sungkyunkwan University Youngran Park 31-290-5025 31-290-5239 imempark@skku.edu

53 University of Seoul Juyeon Kim 2-6490-6660/6663, 2-6490-6664 iice-under@uos.ac.kr

54 University of Ulsan Sean Park 52-220-5957 52-224-2061 uou.sean@gmail.com

Ulsan National Institute of

55 Oh, Youngcheol 52-217-1124 52-217-1129 adm-u@unist.ac.kr
Science and Technology

56 Wonkwang University LEE HYUN SOO 63-850-5752 63-850-5753 kkachim@wku.ac.kr

57 Yeungnam Univesity Lee, Sunho 53-810-7886 53-810-4702 sunholee2003@yu.ac.kr

58 Yonsei Unviersity Jung, Dae Shik 2-2123-3211 2-2123-8699 iadms@yonsei.ac.kr

18
[Appendix 3]

C.G.P.A. Conversion Table

4.0 Scale 4.3 Scale 4.5 Scale 5.0 Scale 100 Points Scale

3.97 ~ 4.0 4.26 ~ 4.3 4.46 ~ 4.5 4.95 ~ 5.00 100

3.92 ~ 3.96 4.22 ~ 4.25 4.41 ~ 4.45 4.90 ~ 4.94 99

3.88 ~ 3.91 4.17 ~ 4.21 4.36 ~ 4.40 4.84 ~ 4.89 98

3.84 ~ 3.87 4.12 ~ 4.16 4.31 ~ 4.35 4.79 ~ 4.83 97

3.80 ~ 3.83 4.08 ~ 4.11 4.26 ~ 4.30 4.73 ~ 4.78 96

3.75 ~ 3.79 4.03 ~ 4.07 4.21 ~ 4.25 4.68 ~ 4.72 95

3.71 ~ 3.74 3.98 ~ 4.02 4.16 ~ 4.20 4.62 ~ 4.67 94

3.67 ~ 3.70 3.93 ~ 3.97 4.11 ~ 4.15 4.57 ~ 4.61 93

3.62 ~ 3.66 3.89 ~ 3.92 4.06 ~ 4.10 4.51 ~ 4.56 92

3.58 ~ 3.61 3.84 ~ 3.88 4.01 ~ 4.05 4.45 ~ 4.50 91

3.49 ~ 3.57 3.75 ~ 3.83 3.91 ~ 4.00 4.34 ~ 4.44 90

3.41 ~ 3.48 3.65 ~ 3.74 3.81 ~ 3.90 4.23 ~ 4.33 89

3.32 ~ 3.40 3.56 ~ 3.64 3.71 ~ 3.80 4.12 ~ 4.22 88

3.24 ~ 3.31 3.46 ~ 3.55 3.61 ~ 3.70 4.01 ~ 4.11 87

3.15 ~ 3.23 3.37 ~ 3.45 3.51 ~ 3.60 3.90 ~ 4.00 86

3.07 ~ 3.14 3.27 ~ 3.36 3.41 ~ 3.50 3.79 ~ 3.89 85

2.98 ~ 3.06 3.18 ~ 3.26 3.31 ~ 3.40 3.68 ~ 3.78 84

2.90 ~ 2.97 3.09 ~ 3.17 3.21 ~ 3.30 3.57 ~ 3.67 83

2.81 ~ 2.89 2.99 ~ 3.08 3.11 ~ 3.20 3.45 ~ 3.56 82

2.72 ~ 2.80 2.90 ~ 2.98 3.01 ~ 3.10 3.34 ~ 3.44 81

2.64 ~ 2.71 2.80 ~ 2.89 2.91 ~ 3.00 3.23 ~ 3.33 80

19
[Form 1]

2018
(Application for 2018 KGSP for an Undergraduate Degree)
/ via Korean Embassies

Please type or print clearly in English or Korean.

English Name Spelling MUST be exactly the same as in your passport
Please state a date in the following order: year, month and day (ex. January 30, 1994 1994/01/30)
Choose up to 3 preferred universities and departments (or majors) respectively
: a department (or major) only for a preferred university

(Applicants name) (Family name) / (Given name) / Middle name

(Nationality)
(Type of Application)
(Desired Field of study)
(Language Proficiency)
(Preferred Univ.)
(Birth-date)
(yyyy/mm/dd)
(General) (Overseas Korean)
(Humanities & Social Sciences)
(Natural Sciences & Engineering)
(Arts and Physical Education)
(Korean Proficiency) Advanced Intermediate Beginner
(English Proficiency) Advanced Intermediate Beginner
1 2 3

(Preferred Dept.) 1 2 3

Checklist (Submission of Documents)

Please put a in the appropriate box, Type or Print clearly
Official
Original 3 Copied
Notarized
Required Documents Document Documents
Translation
Yes No Yes No Yes No
One Complete Application Form N/A
One NIIED Pledge N/A
One Personal Statement N/A
One Study Plan N/A
2 2 Recommendation Letters (from 2 different recommenders) N/A
On e S el f M e d ica l A s s e ss m e nt N/A
One Graduation Certificate of High school
One High school Grade Transcripts
One Certificate of Citizenship (Applicant & Parents)
() Awards (Optional)
()
Overseas Korean Documents (Overseas Koreans only)

() C. of Korean Proficiency N/A

One Certificate of Korean or English Proficiency C. of English Proficiency N/A

20
 (If applicable)
1/3
(Personal Information) (English Name Spelling MUST be exactly the same as in your passport)

(Native
language) (Family Name) (Given Name) Middle Name

(Full Name)
* (Passport Photo)
(English) 3cm 4cm
(Family Name) (Given Name) Middle Name
Male (Date of Birth: yyyy/mm/dd)
(Gender) Female (Marital Status) Single Married

(Place of Birth) City/Province and Country (Current Passport Number)

(Nationality) (Passport Expiration date)
Please write in ENGLISH ONLY including street address, city, country and postal code.
(Mailing
Address)

(Home) (Phone) Country Code / Area Code / Phone Number
___________________________________________________________________________
(Cell Phone) Country Code / Cell Phone Number

(E-mail)
Please write in ENGLISH ONLY including street address, city, country and postal code.
(Mailing
Address)

(High School) (Phone) Country Code / Area Code / Phone Number

(Fax) Country Code / Area Code / Fax Number

(Language Proficiency)
(Level)
(Language) (Title of Test) (Score or level) (Date of Test) Beginning Intermediate Advanced

(Korean)

(English)

(Education: including Elementary School): Please list most recent first

(Entrance Date) (Graduation Date)
(Institution) (Location: city/country)
( yyyy/mm/dd) (yyyy/mm/dd)

21
 (High School Grades; Only for the semesters attended)

1 (1st year) 2 (2nd year) 3 (3rd year) TOTAL
(School Year) (100 percentile)
Grades (G.P.A.) C.G.P.A.: /100

RANK RANK: /100

(Family Background)

(Relationship) (Name: Family/Given/Middle) (Date of Birth) (Occupation) (Address: district, city)

(Previous Scholarship Awards Received from Korean institutions)

:
(Title of Award) (Period: yyyy/mm/dd) (Institution)

(Previous Visits to Korea)

:
(Period: yyyy/mm/dd) (City or Region) (Purpose of Stay) (Organization Concerned)

(List of Recommenders)

(Name) (Position) (Organization) (Phone) (E-mail Address)

THE ANSWERS I HAVE GIVEN ABOVE ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. IF MY ANSWERS
CONTAIN ANY KIND OF FALSEHOOD, I WILL TAKE ANY LEGAL RESPONSIBILITY.

DATE(yyyy/mm/dd): . .

22
NAME OF THE APPLICANT SIGNATURE OF THE APPLICANT

23
[Form 2]

KGSP Applicant Pledge

As an applicant for the 2018 Korean Government Scholarship Program (KGSP) for
Undergraduate Degree, I pledge to abide by the followings;

Please read each article and check the box below

(1) All documents I submitted to NIIED are true;

(2) I will abide by all the Korean laws and ordinances;

(3) I will respect and uphold the values of the Korean culture and society;

(4) I will fulfill my responsibilities as a KGSP scholar to the best of my abilities;

(5) I will not participate in any form of political activities;

(such as organizing or joining a political party, attending political meetings, publishing articles and
declarations, and organizing or participating in political demonstraions)

(6) I will maintain financial integrity at a personal level;

(7) I accept NIIEDs decision concerning the undergraduate degree program and the
Korean language program;

(8) I understand it is not permitted to change the university, either for the Korean language
program or for the degree program;

(9) I will observe the regulations of NIIED and the university; and

(10) I give permission to NIIED to use my personal information for KGSP

I confirm that I read all of the above conditions. I also understand that the violation of any
one of the above might result in the suspension or cancellation of the scholarship.

DATE(yyyy/mm/dd): .

24
NAME OF THE APPLICANT SIGNATURE OF THE APPLICANT

25
 [Form 3]

(Personal Statement)

<: 2 (A4, ), ,

. .>
<Instructions: please write no more than 2 pages on an A4 size format, one-sided only. The essay should include the
following things and must be clearly typed or printed in black ink. Please remove the instructions after reading it. >

- Motivations with which you apply for this program

- Family and Education background
- Significant experiences you have had; risks you have taken and achievements you have made, persons or events that
have had a significant influence on you
- Extracurricular activities such as club activities, community service activities or work experiences
- If applicable, describe awards you have received, publications you have made, or skills you have acquired, etc.

DATE(yyyy/mm/dd): . .

NAME OF THE APPLICANT SIGNATURE OF THE APPLICANT

26
[Form 4]

(Study Plan)

<: 3 A4 .
. .>
<Instructions: Please type or print in Korean or English not exceeding 3 pages on an A4 size format, one-sided only. It
is advised that you discuss your academic goals and plans with your teacher before filling out this form. Please
remove the instructions after reading it.>

(Name)
Family name / Given name / Middle name

(Nationality) (Date of Birth:yyyy/mm/dd)

(Entry Date: yyyy/mm)

(Secondary school

attended)
(Graduation Date: yyyy/mm)

Advanced Intermediate Beginner) Advanced Intermediate Beginner)
(Korean Proficiency) (English Proficiency)

(Preferred Universities)

(Preferred Departments)

A. (, )
Study plans to improve foreign languages(Korean, English, etc) required for taking a bachelors degree course
BEFORE and AFTER you come to Korea.

27
 B. ( , , ,

Study plan for a bachelors degree course (Please state the reason you choose such universities and departments (or

majors), your academic goals, specific plans (including timeline) to achieve them, and future plan after completion of your

study. In case that preferred departments (or majors) of the preferred universities are different, please mention about

them separately.)

DATE(yyyy/mm/dd): . .

NAME OF THE APPLICANT SIGNATURE OF THE APPLICANT

28
[Form 5]

Letter of Recommendation

Type or print in English or Korean, not exceeding 2 pages in length.

To be completed by the applicant:
Please fill in your name and other information below. If possible, let your recommender know your study plan in Korea when ask

him/her to write this letter. Please note that recommendation letters that are not sealed and signed will not be accepted.

Applicants Name:
Current/Last (High) School:
Date of Birth (yyyy/mm/dd) E-mail:

Desired Field of study Humanities & Social Sciences Natural Sciences & Engineering Arts and Physical Education

Preferred Universities
Preferred Departments (or
Majors)
-----------------------------------------------------------------------------------------------------------------------
To be completed by the recommender:
Your frank and candid appraisal of the applicant will be highly appreciated in the process of selection of Korean Government

Scholarship recipients and the admissions to a Korean university. Please make 3 photocopies of the letter after writing it and sign

all copies (1 original and 3 photocopied letters) respectively. And please return them sealed in an official envelope which is signed

across the back flap; otherwise, they are not valid.

Name: E-mail:

Title, Position and Institution:

Address:
Telephone:
How long have you known the applicant and in what context?

Please assess the applicant's qualities in the evaluation table given below. Rate the applicant compared to other
individuals whom you are familiar with.
Truly
Exceptional Excellent Very Good Good Below Average
Classification N/A
Top 2% Top 10% Top 25% Middle 50% Lower 25%
Academic Achievement
Future Academic Potential
Integrity
Responsibility/Independence
Creativity/Originality
Communication Skills
Interpersonal skills
Leadership

29
 1/2

Please provide us with comments on the applicants performance record, potential, or personal qualities which you
believe would be helpful in considering the applicants application for the proposed degree program.

DATE(yyyy/mm/dd): . .

NAME OF THE RECOMMENDER SIGNATURE OF THE RECOMMENDER

30
[Form 6]

(Self Medical Assessment)

Please provide accurate information for the following questions.

Note: Applicants are not required to undergo an authorized medical exam before passing the 2nd round of
selection; however, all candidates must take a comprehensive medical exam after the 2nd round of
selection (see FORM 7); all grantees must take another comprehensive medical check-up (including HIV,
TBPE drug test) after coming into Korea in accordance with the requirements of the Korea Immigration
Service and the KGSP. If the results show that any grantee is unfit to study and live overseas, he/she may
be disqualified.

QUESTION YES NO EXPLAIN

When and for what reason did you last consult a
physician? (Please explain)
Have you had any serious ailment, injuries or
diseases (high blood pressure, diabetes, tuberculosis,
any type of Hepatitis, HIV, etc) in the last five years?
(If yes, please explain)
Have you been hospitalized in the last two years?
(If yes, please explain)
Have you ever been treated by a doctor for any mental,
emotional, or anxiety disorder?
(If yes, please explain and attach a report from your
doctor)
Have you ever been addicted to any substance?
(If yes, please explain)
Do you have any allergies? (If yes, please list them)

Do you have any visual or hearing impairment?

Do you have any physical disabilities?

Do you have any cognitive/mental disabilities?

Are you taking any prescribed medication?
(If yes, please explain)
Are you on a special diet?
(If yes, please explain in detail)
Have you ever suffered from depression?
(If yes, please explain)

THE ANSWERS I HAVE GIVEN ABOVE ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. IF MY ANSWERS
CONTAIN ANY KIND OF FALSEHOOD, I WILL TAKE ANY LEGAL RESPONSIBILITY.

Date(yyyy/mm/dd): . .

NAME OF THE APPLICANT SIGNATURE OF THE APPLICANT

31
[Form 7]

(Certificate of Health)
This certificate will be highly appreciated in the process of selection of Korean Government Scholarship recipients and
the admissions to a Korean university. Please attach evidential documents which prove that the result of the following
examinations is true and correct; otherwise, it is not valid.

1. Personal Information
Full Name:
Sex:
Date of Birth:
Nationality:

2. Physical Examination
Blood Pressure: Systolic Diastolic mmHg
Vision: Right 20/ Left 20/ Color Vision
Corrected: Right /15 Left /15
Dental Evaluation: Good ( ) Fair ( ) Poor ( ) Needs Attention ( )
Clinical Evaluation:
Classification Normal Abnormal Classification Normal Abnormal
Skin Heart
Head & Face Abdomen
Eyes Rectum
Ears Genitalia
Mouth & Throat Extremities
Nose & Sinuses Back & Spine
Neck Neurological
Chest & Lungs Mental
Other
If Abnormal:

3. Chest Xray Examination

Date taken:
Findings:

4. Laboratory Examination
Hemoglobin: Gm/dl
Urine: S.G. Sugar Micro
Hepatitis B:
Stool for Parasite Oval:
Serological Test for Syphilis:
Other:
In my opinion his/her health condition is;
Excellent ( ) Good ( ) Fair ( ) Poor ( )
This is to certify that the above named applicant has gone through a general medical examination and the
findings indicated here are true and correct to the best of my knowledge.

Date Hospital or Institute

M.D

32
Signature

33