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REGISTRATION NUMBER
2) Country : Indonesia
19
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FORM 1. 2021 Global Korea Scholarship Application
Please check (☒) the following. Click the box to check or uncheck.
1. Application Track 전형 유형
☐ Embassy 공관 전형 ☐ University Track 대학 전형
2. Type of Application 지원 유형
☐ General 일반 ☐ Overseas Koreans 재외동포
3. Desired Division(Field of Study) 희망계열
☐ Liberal Arts and Social Science 인문사회계열
☐ Science, Technology and Engineering 자연공학계열
☐ Arts and Sports 예체능계열
4. Program to Apply 지원과정
☐ Bachelor’s Degree 학사과정 ☐ Associate Degree 전문학사과정
Please complete the form below. It must be typed in English ONLY.
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Period 기간 School / Institution 학교명 Country 소재국
Recently
attended school
학력
Cumulative G
High Year Score Percentile
1st year 2nd year 3rd year 4th year 5th year PA (CGPA)
School 환산점수
평균평점
Grades* Semest 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3
(ONLY for er
terms or
semesters Grade
completed) / / / / / / / / / / / / / / / / 100
s
성적
(이수
학기만) Rank / / / / / / / / / / / / / / / / 100
*If needed, you may add additional columns to the term or semester section. You can write either the CGPA or Score Percentile
Name Position Organization Phone Email
List of Recommender
추천인 명단
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.
* Refer to III. AVAILABLE UNIVERSITIES AND FIELDS OF STUDY when choosing universities.
* Refer to Appendix A for the grade conversion table.
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FORM 2. PERSONAL STATEMENT
Instructions: Please type in Korean or in English. The essay must be single spaced within TWO page, with
the font Times New Roman, size 11. (*11 points) The essay should include the following things. Please
remove the instructions after reading it.
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FORM 3. STUDY PLAN
Instructions: Please type in Korean or in English. The essay must be single spaced within TREE page, with
the font Times New Roman, size 11. (*11 points) 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.
Language Study o Study plans to improve foreign languages(Korean, English, etc) required for taking a
Plan degree course BEFORE and AFTER you come to Korea.
Future Plan
o Future plan in Korea or another country after study in Korea
after Study
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FORM 4. RECOMMENDATION LETTER
To the applicant: Please fill in your name and the other required information below. In turn, deliver or email this
form to the person who will write this letter. NOTE: Request your recommender to seal his or her letter of
recommendation in an official envelope and sign across the back flap upon completion. Recommendation letters that are
not sealed and signed will not be accepted. Confidential
Intended Major:
Your frank and candid evaluation of the applicant will be highly appreciated in the selection of Global Korea
Scholarship awardees and the admissions to a Korean university. We greatly appreciate your time and effort.
*You may use your own recommendation letter template and attach your letter to this form. However, we hope
to glean the following information of the applicant from your recommendation letter:
- How long have you known the applicant and in what relationship?
- What are applicant’s capabilities, strengths, and weaknesses (in regards to academic achievement, passion and interest
for intended major, future academic potential, integrity, responsibility, independence, creativity, adaptability,
communication skills, and others)?
- Please comment on the applicant’s performance record, potential, or personal qualities which you believe would be
helpful in considering the applicant’s application for the proposed degree/research program.
Recommender’s Name
Address:
(zip-code: )
Email: Tel:
*For the recommenders of Embassy Track Applicants: After completing the recommendation letter, please printout
or make 3 photocopies of the letter you wrote and sign all copies (1 original and 3 photocopied letters) respectively.
Please enclose all 4 letters in an official envelope and sign across the back flap; the recommendation letters that are
not signed will not be considered valid.
Please return this form and your recommendation letters sealed in an envelope (signed across the back flap)
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and return it to the applicant. Thank you
As an applicant for 2021 Global Korea Scholarship for degree program, I agree to abide
by the following;
※ Please read each article, check each box and sign below.
(1) The information I have provided in this application forms are true and accurate and all
documents I submitted to the National Institute for International Education (hereafter
NIIED) are genuine. ☐
(2) I understand that all the documents submitted to NIIED for GKS will not be returned
regardless of the final outcome of the selection process. ☐
(4) I will respect and uphold the values of the Korean culture and society. ☐
(6) 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 demonstrations). ☐
(8) I accept NIIED’s decision concerning degree program and the Korean language program.
☐
(9) I understand that once I am selected as a GKS scholar. I am not permitted to change the
university, either for the Korean language program. ☐
(10)I will abide by the academic regulations and requirements of NIIED, Korean language
institution, and university. ☐
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(11)I understand that if I have any dependents that will accompany me to Korea, I am
responsible for all matters concerning those dependents such as visa issuance and that
NIIED will not provide any extra expenses or support in regards to my dependents. ☐
(12) I give permission to NIIED, the Ministry of Education of Korea, the Ministry of
Foreign Affairs of Korea, the Ministry of Justice of Korea, and affiliated institutions to
use the contact information provided in my application for the purpose of visa issuance,
communication, conducting surveys, and sharing information as needed. I give
authorization for photos and video of me to be taken during GKS orientation and used in
any promotional or educational materials. ☐
(13) I hereby authorize NIIED to verify the information disclosed in this application
form and the documents required by GKS as well as to collect any other information
deemed necessary by GKS to determine my suitability as an applicant from any
institution, organization or individual issuing said information and/or documentation.
This includes but is not limited to contacting recommendation referees or previous
employers. ☐
(14) I hereby understand that all information provided to NIIED will be stored in
secured servers where access will be limited to GKS team and its affiliates. I understand
that all reasonable efforts will be made to protect confidential and sensitive information.
By signing below and submitting my application, I agree to these terms. ☐
(15) I understand that failure to uphold any of the above statements may be grounds
for termination of my scholarship offer. ☐
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 suspension or cancellation of the scholarship.
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FORM 6. PERSONAL MEDICAL ASSESSMENT
Attention! This form is just a personal medical assessment and applicants do not need to get comprehensive
medical examination for now. However, once applicants are successful in the 2nd round of selection, in
accordance with the requirements of the Korea Immigration Service and Global Korea Scholarship,
applicants must get a comprehensive medical examinations from a licensed physician or a doctor (including
TBPE drug test** etc.) before coming into Korea. All grantees must take another comprehensive medical
check-up (including, TBPE drug test) after coming into Korea in accordance with the requirements of the
Korea Immigration Service and the GKS. If the results show that the applicant is unfit to study and live
overseas, he/she may be disqualified.
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Appendix A. GPA Conversion Table
4.0 Scale 4.3 Scale 4.5 Scale 5.0 Scale 100 Points Scale
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Appendix B. Contacts of Korean Embassies
30
No. County Office Phone Fax Email
24 Embassy of the Republic of gabon-
Gabon 241-0173-4000 241-0173-9905
Korea in Gabon ambcoree@mofa.go.kr
25 Embassy of the Republic of
Georgia 995-32-297-03-18; 20 995-32-242-74-40 georgia@mofa.go.kr
Korea in Georgia
26 Embassy of the Republic of
Ghana 233-30-277-6157 233-30-277-2313 ghana@mofa.go.kr
Korea in Ghana
27 Embassy of the Republic of korembsy@mofa.go.kr,
Guatemala 502-2382-4051 502-2382-4057
Korea in Guatemala embcor.gt@mofa.go.kr
28 Embassy of the Republic of
India 91-11-4200-7000 91-11-2688-4840 india@mofa.go.kr
Korea in India
29 Embassy of the Republic of 62-21-2967-2556,
Indonesia 62-21-2967-2555 koremb_in@mofa.go.kr
Korea in Indonesia 2557
30 Embassy of the Republic of
Iran 98-21-8805-4900~4 98-21-8805-4899 emb-ir@mofa.go.kr
Korea in Iran
31 Embassy of the Republic of
Japan 81-3-6400-0643 81-3-3452-7426 education_jp@mofa.go.kr
Korea in Japan
32 Embassy of the Republic of
Jordan 962-6-593-0745~6 962-6-593-0280 jordan@mofa.go.kr
Korea in Jordan
33 Consulate General of the
Kazakhstan 7-727-291-0490 7-727-291-0399 almakorea@mofa.go.kr
Republic of Korea in Almaty
34 Embassy of the Republic of
Kenya 254-20-361-5000 254-20-374-1337 emb-ke@mofa.go.kr
Korea in Kenya
35 Kyrgyz Embassy of the Republic of
996-312-579-771 996-312-579-774 korea.kg@gmail.com
Republic Korea in Kyrgyz Republic
Embassy of the Republic of
36 Laos 856-21-352-031~3 856-21-352-035 laos@mofa.go.kr
Korea in Laos
Embassy of the Republic of
37 Malaysia 603-4251-2336 603-4252-1425 korem-my@mofa.go.kr
Korea in Malaysia
Embassy of the Republic of
38 Mexico 52-55-5202-9866 52-55-5540-7446 embcoreamx@mofa.go.kr
Korea in Mexico
Embassy of the Republic of
39 Mongolia 976-7007-1020 976-7007-1021 kormg@mofa.go.kr
Korea in Mongolia
Embassy of the Republic of
40 Moldova 380-44-246-3759; 61 380-44-246-3757 koremb@mofa.go.kr
Korea in Ukraine
41 Embassy of the Republic of
Morocco 212-537-75-1767 212-537-75-0189 morocco@mofa.go.kr
Korea in Morocco
42 Embassy of the Republic of
Mozambique 258-21-495-625 258-21-495-638 embassy_mz@mofa.go.kr
Korea in Mozambique
43 Embassy of the Republic of
Myanmar 95-1-527-142 95-1-513-286 myanmar@mofa.go.kr
Korea in Myanmar
44 Embassy of the Republic of
Nepal 977-1-427-0172 977-1-427-2041 konepemb@mofa.go.kr
Korea in Nepal
45 Embassy of the Republic of
Nigeria 234-9- 461-2701 234-9- 461-2702 emb-ng@mofa.go.kr
Korea in Nigeria
46 Embassy of the Republic of 92-51-227-9380~1;
Pakistan 92-51-227-9391 pakistan@mofa.go.kr
Korea in Pakistan 5~7
47 Embassy of the Republic of
Panama 507-264-8203; 8360 507-264-8825 panama@mofa.go.kr
Korea in Panama
48 Embassy of the Republic of 595-21-605-606; 401;
Paraguay 595-21-601-376 paraguay@mofa.go.kr
Korea in Paraguay 419
49 Embassy of the Republic of
Peru 51-1-632-5000 51-1-632-5010 peru@mofa.go.kr
Korea in Peru
31
No. County Office Phone Fax Email
50 Embassy of the Republic of
Philippines 63-2-856-9210 63-2-856-9008 philippines@mofa.go.kr
Korea in Philippines
51 Embassy of the Republic of koremb_waw@mofa.go.k
Poland 48-22-559-2900~04 48-22-559-2905
Korea in Poland r
Embassy of the Republic of 7-495-783-2777;
52 Russia 7-495-783-2727 embru@mofa.go.kr
Korea in Russia 2797
Embassy of the Republic of koremb-
53 Rwanda 250-252-577-577 250-252-572-127
Korea in Rwanda rwanda@hotmail.com
Embassy of the Republic of
54 Senegal 221-33-824-0672 221-33-824-0695 senegal@mofa.go.kr
Korea in Senegal
Embassy of the Republic of
55 Singapore 65-6256-1188 65-6254-3191 korembsg@mofa.go.kr
Korea in Singapore
56 Embassy of the Republic of
Sri Lanka 94-11-269-9036~8 94-11-269-6699 korembsl@mofa.go.kr
Korea in Sri Lanka
57 Embassy of the Republic of
Sudan 249-1-8358-0031~2 249-1-8358-0025 sudan@mofa.go.kr
Korea in Sudan
58 Embassy of the Republic of koremb.sweden@mofa.go
Sweden 46-8-5458-9400 46-8-660-2818
Korea in Sweden .kr
59 Embassy of the Republic of 992-44-600-2114;
Tajikistan 992-37-224-6142 tajik@mofa.go.kr
Korea in Tajikistan 9116
60 Embassy of the Republic of
Tanzania 255-22-211-6086~8 255-22-211-6099 embassy-tz@mofa.go.kr
Korea in Tanzania
61 Embassy of the Republic of
Thailand 662-247-7537∼9 662-247-7535 koembth@mofa.go.kr
Korea in Thailand
62 Embassy of the Republic of
Timor-Leste 670-332-1635 670-332-1636 koreadili@mofa.go.kr
Korea in Timor-Leste
Trinidad and Embassy of the Republic of trinidad@mofa.go.kr,
63 1-868-622-9081; 1069 1-868-628-8745
Tobago Korea in Trinidad and Tobago koremb.tt@gmail.com
Embassy of the Republic of
64 Turkey 90-312-468-4822 90-312-468-2279 turkey@mofa.go.kr
Korea in Turkey
Embassy of the Republic of
65 Turkmenistan 993-12-94-72-86~8 993-12-94-72-89 korembtm@mofa.go.kr
Korea in Turkmenistan
Embassy of the Republic of 256-414-500-199;
66 Uganda 256-414-500-197~8 emb.kampala@mofa.go.kr
Korea in Uganda 256-781-354-605
Embassy of the Republic of
67 Ukraine 380-44-246-3759; 61 380-44-246-3757 koremb@mofa.go.kr
Korea in Ukraine
Embassy of the Republic of
68 Uruguay 598-2628-9374~5 598-2628-9376 koemur@mofa.go.kr
Korea in Uruguay
Embassy of the Republic of
69 Uzbekistan 998-71-252-3151~3 998-71-140-0248 uzkoremb@mofa.go.kr
Korea in Uzbekistan
Embassy of the Republic of
70 Venezuela 58-212-954-1270 58-212-954-0619 venezuela@mofa.go.kr
Korea in Venezuela
Embassy of the Republic of
71 Vietnam 84-4-3831-5110~6 84-4-3831-5117 korembviet@mofa.go.kr
Korea in Vietnam
Korean Embassy, P.O.Box
72 Yemen 94399, Riyadh 11693, Saudi 966-11-488-2211 yemen@mofa.go.kr
Arabia (Temporary Office)
32
code: 82) code: 82)
Office of International hikwon@ajou.ac.kr
1 AJOU UNIVERSITY 31-219-2925 31-219-2924
Affairs
Busan University of Office of International
2 51-509-5329 51-509-5340 bryankim@bufs.ac.kr
Foreign Studies Affairs
Chonnam National Office of International
3 62-530-1277 62-530-1269 gradia@jnu.ac.kr
University Affairs
Chungnam National Office of International
4 42-821-8825 42-821-5125 okcnu@cnu.ac.kr
University Affairs
Office of International
5 Daegu University 53-850-5686 53-850-5689 pdw2892@daegu.ac.kr
Affairs
Institute of International
6 Daejeon University 42-280-2124 42-272-8533 ssamuel@dju.kr
Affiars
International Exchange
7 Dongseo University 51-320-2746 51-320-2094 ysleee@dongseo.ac.kr
Center
Duksung Women's
8 International Affairs 2-994-0522 2-991-0589 byulnama@duksung.ac.kr
University
Ewha Womans Office of International
9 2-3277-6988 N/A shee@ewha.ac.kr
University Affairs
Handong Global
10 Admission Team 54-260-1806 54-260-1809 eskim@handong.edu
University
Center for International
11 Hannam University 42-629-7755 42-629-7779 hnueng@hnu.kr
Relations
Office of International 2-2220-2444, isonglee32@hanyang.ac.kr /
12 Hanyang University 2-2220-1798
Affairs 2446 minj0510@hanyang.ac.kr
Office of International
13 Inje University 55-320-3605 55-320-3605 lala903@inje.ac.kr
Affairs
Office of International
14 Jeju National University 64-754-8243 64-702-0563 intl1@jejunu.ac.kr
Affairs
Kangwon National
Office of International
15 University 33-250-7194 33-259-5522 intn1947@kangwon.ac.kr
Affairs
(Chuncheon Campus)
Center for International
16 Keimyung University 53-580-6557 53-580-6596 minseek@kmu.ac.kr
Cooperation
33
27 Pukyong National Office of International
51-629-6846 51-629-6910 sshin@pknu.ac.kr
University Affairs
28 Pusan National
PNU International 51-510-3879 51-582-6980 gkspnu@pusan.ac.kr
University
29
Semyung University International Affairs 43-649-1182 43-644-7177 syj81@semyung.ac.kr
30 Seoul National
Office of Admissions 2-880-5022 2-873-5021 swit_jw@snu.ac.kr
University
Seoul National
31 Office of International
University of Science and 2-970-9214 2-970-9229 admission@seoultech.ac.kr
Education
Technology
32
SILLA UNIVERSITY International Affairs Team 51-999-5512 51-999-5519 suepark@silla.ac.kr
33 Sookmyung Women's Office of International
2-710-9817 2-710-9285 admission@sm.ac.kr
University Affairs
34 Soonchunhyang Center for Global Education
41-530-1305 41-530-1381 elina@sch.ac.kr
University & Exchange
35
Sun Moon University Office of Admission 41-530-2074 41-530-2976 istudent@sunmoon.ac.kr
Sunchon National Institute of International
36 61-750-3147 61-750-3149 411024@scnu.ac.kr
University Affairs and Education
Office of International
Sungkyunkwan
37 Student Services, 2-760-0027 2-760-0030 jinsmile@skku.edu
University
International Affairs
International Undergraduate
38 Yonsei Univeristy 2-2123-3225 N/A iadms@yonsei.ac.kr
Admissions Team
34
Appendix C. Contacts of Universities Staff (University Track)
[Regional Universities for Natural Science & Engineering Majors]
Phone Fax
No. University Department (country (country E-mail address
code: 82) code: 82)
Busan University of Office of International
1 51-509-5329 51-509-5340 bryankim@bufs.ac.kr
Foreign Studies Affairs
Chonnam National Office of International
2 62-530-1277 62-530-1269 gradia@jnu.ac.kr
University Affairs
Chungnam National Office of International
3 42-821-8825 42-821-5125 okcnu@cnu.ac.kr
University Affairs
Office of International
4 Daegu University 53-850-5686 53-850-5689 pdw2892@daegu.ac.kr
Affairs
Institute of International
5 Daejeon University 42-280-2124 42-272-8533 ssamuel@dju.kr
Affiars
International Exchange
6 Dongseo University 51-320-2746 51-320-2094 ysleee@dongseo.ac.kr
Center
Handong Global
7 Admission Team 54-260-1806 54-260-1809 eskim@handong.edu
University
Center for International
8 Hannam University 42-629-7755 42-629-7779 hnueng@hnu.kr
Relations
Office of International
9 Inje University 55-320-3605 55-320-3605 lala903@inje.ac.kr
Affairs
Office of International
10 Jeju National University 64-754-8243 64-702-0563 intl1@jejunu.ac.kr
Affairs
Kangwon National
Office of International
11 University 33-250-7194 33-259-5522 intn1947@kangwon.ac.kr
Affairs
(Chuncheon Campus)
Center for International
12 Keimyung University 53-580-6557 53-580-6596 minseek@kmu.ac.kr
Cooperation
Kongju National Office of International
13 41-850-0862 41-850-8058 phlee@kongju.ac.kr
University Affairs
Office of International
14 Konyang University 41-730-5134 41-730-5383 hyuna94@konyang.ac.kr
Affairs
Kyungpook National Office of International
15 53-950-2433' 53-950-2419' kgsp@knu.ac.kr
University Affairs
National Korea Maritime Office of International
16 51-410-4774 51-401-0701 ahyoung9205@kmou.ac.kr
& Ocean University Affairs
The office of International
17 Pai Chai University 42-520-5243 N/A heemang2@pcu.ac.kr
Affairs
Pukyong National Office of International
18 51-629-6846 51-629-6910 sshin@pknu.ac.kr
University Affairs
Pusan National
19 PNU International 51-510-3879 51-582-6980 gkspnu@pusan.ac.kr
University
20 Semyung University International Affairs 43-649-1182 43-644-7177 syj81@semyung.ac.kr
35
Appendix C. Contacts of Universities Staff (University Track)
[Universities for Associate Degree]
Phone Fax
No. University Department (country (country E-mail address
code: 82) code: 82)
CHEJUHALLA
1 Office of International Affairs 64-741-7426 64-741-7434 tiger1052sm@chu.ac.kr
UNIVERSITY
Dong-Ah Institute of
2 International Affairs Office 31-670-6828 31-670-6827 jjm@dima.ac.kr
Media and Arts
3 Inha Technical College Office of International Affairs 32-870-2086 32-232-3425 leeth@inhatc.ac.kr
36