APPLICATION NUMBER

GITTP APPLICATION FOR

ADMISSION

1. Applicant Information
2.

Name in English
(last/first/middle)

Nationality Gender

Acquisition Date of
Citizenship Marital Status Photo
(yyyy/mm/dd)

Date of Birth
Place of Birth
(yyyy/mm/dd)

Passport # / Resident Registration #

□ Government officer □ Researcher in national institutions
Current Job □ Professor in national Univ. □ Employee in public enterprise
Classification □ Etc.
Contact Information

Mailing Address

E-mail
Telephone 1 (home)
Telephone 2 (office)
Mobile Phone
Telephone # in Korea (if any)
Fax

2. Intended Program & Major

Intended Program MS Ph.D

Intended Major  Engineering  IT Management

3. English Proficiency Test

PBT CBT IBT TEPS TOEIC IELTS Other

TOEFL TOEFL TOEFL

Score
  English lecture
Date taken
(yyyy/mm/dd)  Exempted
 None
4. Academics
Education
List the names and other necessary information of the schools you have attended or are attending in chronological order.
Date of
(yyyy/mm)
School Information Academic Achievement
graduati
entrance
on

Name: GPA Earned/Full mark

Postal Address: Major

Minor
Telephone:
url: Dual
Major
Academic Major:
Bachelor’s

Level of Univ.*.:
Diploma or Degree:

Name: GPA Earned/Full mark

Postal Address: Major

Minor
Telephone: Dual
url: Major
Academic Major:
Level of Univ.:
Diploma or Degree:

Name: GPA Earned/Full mark

Postal Address: Major

Minor
Telephone: Dual
url: Major
Academic Major:
Level of Univ.:
Master’s

Diploma or Degree:

Name: GPA Earned/Full mark

Postal Address: Major

Minor
Telephone: Dual
url: Major
Academic Major:
Level of Univ.:
Diploma or Degree:

* Please choose the level of university you graduated among the followings;
1. Top 3 in the country 2. Top 10 in the country 3. Upper 20% 4. Upper 50% 5. Others

5. Publications
Please list the publications related to your proposed field of study, including graduation dissertation.

Date Titles Name of Journal or

(yyyy/mm) Graduation dissertation
6. Work/Research Experience
Please list your main work experience and paid jobs related to your study and research.

Period
Job Description/Duty
(yyyy/mm) Name & Location of Workplace Position
(In detail)
from To

present

* Write in chronological order

7. Family Background

Relations Name Date of Birth Occupation Residence/City

8. Recommendations from Workplace
This application requires two Letters of Recommendation from your workplace you have been work or working. Please provide
the following information of the two persons (Superior, Director, Head of Department) who will write recommendation letters for
you.

Name

Affiliation

Position
Postal Address
E-mail Address Telephone number

Name

Affiliation
Position
Postal Address
E-mail Address Telephone number

9. Interested Areas of Study

Field Track Order of Preference*

Engineering Ubiquitous Computing
Bioinformatics & Information Management
Software Engineering
Media and Interaction
Information Security
Internet
Optical Communication
Multimedia Communication & Processing
Wireless Communication
Radio and Bio Electronics
System on Chips
Management IT-Management
IT-Economics/Policy
(Other-please specify)

* Number your preferred tracks of study up to 3. #1 should indicate the area in which you are most interested.
10. Study Background

Knowledge of
o your knowledge, education and work experience, etc in relation to major field
Major Field

Reason for
Studying in Korea

Key Achievements o important books, thesis, report, patent, R&D achievement, prize-winning & scholarship record, etc
11. Study Plan

Study Plan o goal of study, title or subject of the research and detailed study plan
12. Self Introduction

I certify that the information provided in my application is accurate, complete, and honestly presented. I understand that any
omission, intentionally inaccurate information or misrepresentation herein may result in cancellation of my admission to KAIST
GITTP.

_______________________________________ _______________________________________
Applicant’s Signature Date (yyyy/mm/dd)
13. International Development Cooperation Plan
The objectives of the GITTP are to contribute to foster global ICT leaders, by increasing international research and education engagement between
Korea and priority countries in key fields of ICT, research and innovation. The ITTP offers achieving individuals from Korea and overseas the
opportunity to develop their knowledge and expertise and build institution-to-institution connections and create the next generation of global ICT
leaders across a wide variety of professional ICT fields.

International Development Cooperation Plan Write down a detailed and accurate statement of your ICT International
Cooperation Plan based on the needs of your organization.

Background Describe the background of your cooperation plan (social

economic situation of your country in regard to the
cooperation project)

Intention of your organization and country Describe your organization or country’s strategies and
policies related on your ICT International Cooperation Plan.

I confirm that the applicant’s plan is appropriate and based on the need of our organization.

_______________________________________ _______________________________________
Applicant’s Signature Director/Head of your Organization/Department’s Signature