Graduate School, Inha University

100 Inha-ro, Nam-gu, Incheon, Korea [402-751]

TEL: +82-32-860-8383~9,  Fax: +82-32-865-8623,  E-mail: graduate@inha.ac.kr

Letter of Consent for Degree Verification

To whom it may concern;

I, as an applicant for admission, hereby authorize Inha University to verify my degree/graduation records. In this regard,

I would like to request your full assistance to Inha University as a provider for my qualifications by signing this form.

Verification
Completed by the applicant
(To be completed by University)

* Name : (Surname)
□ Correct  □ Incorrect
(Given name)

* Date of Birth(YYYY-MM-DD) : □ Correct  □ Incorrect

* Student ID Number (if any) : □ Correct  □ Incorrect

* Major : □ Correct  □ Incorrect

* Date of Entrance(YYYY-MM-DD) : □ Correct  □ Incorrect

* Date of Graduation/Degree conferment

□ Correct  □ Incorrect
(YYYY-MM-DD) :

* Degree (achieved/expected) : □ Bachelor  □ Master □ Correct  □ Incorrect

* Date of submission(YYYY-MM-DD) : * Additional comments(if any):

* Applicant’s signature :

Respondent’s Information (To be completed by University)

Name of University

Department(Division)

Address

Contact Phone
Information Fax

E-mail

Name

Position

Date of verification (YYYY-MM-DD) :

* Signature : * Official Seal :

※ Please keep this form within one page. (해당 서류 양식을 1 쪽 이내로 유지시켜주시기 바랍니다.)
<The second page completed by the applicant>
◈ Contact information of University
which conferred (or will confer) a Bachelor’s degree on you.
1) Name of University Graduated(학교명) :
2) Address (학교주소) :
3) Phone (전화) :
4) Fax (팩스) :
5) E-mail :
6) Homepage (홈페이지) : http://
7) Name of a staff in charge of degree verification:

◈ Contact information of University

which conferred (or will confer) a Master’s degree on you.
1) Name of University Graduated(학교명) :
2) Address (학교주소) :
3) Phone (전화) :
4) Fax (팩스) :
5) E-mail :
6) Homepage (홈페이지) : http://
7) Name of a staff in charge of degree verification:

<Notices>
※ Please submit two separate letter of consent forms about both Bachelor’s degree and Master’s
degree, if you want to apply for doctoral degree program.
※ Please mention ‘country code’ for phone and fax number.
(ex) +82-32-860-8389 / 82 : Country code of “Korea”, 32 : Area code of “Incheon”
※ Please write contact information of the official department in charge of degree verification in your
previous university. Do not mention your academic adviser’s contact information.
※ Please fill out only white sections with blue title of the designated form in the first page and contact
information in the second page by computer and then submit the printed papers with your signature
by postal mail.
※ Please do not fill out gray colored sections of the letter of consent form (to be completed by
University). Inha University will verify this form with its own responsibility.