YEUNGNAM UNIVERSITY COLLEGEY

APPLICATION FOR ADMISSION

Registration Number
for Office Use

Note : Please type and print in English or Korean.

1. 이름:
(Vernacular)
Last Name First Name Middle Name (if any)
(English) Mr./Ms.
(Last Name) (First Name) (Middle Name)
(한국어)
(Last Name) (First Name) (Middle Name)

2. 성별 (체크표시): Single Married 3. Gender (check one): Male Female

4. Nationality: 5. Date of Birth: (DD) (MM) (YY)
6. Place of Birth:
7. Permanent Address:
Zip Code
8. Mailing Address:
Zip Code Photo
9. E-mail Address:
(4cm5cm)
10. Telephone:
11. Local Telephone(within Korea):
12. Present Occupation:

Form A (Page 1 of 2)
13. Education (Academic history starting from elementary school):
※Please write name, address, phone number, fax number, and e-mail address of all schools attended from
elementary to highest education obtained.
Dates Name of Required Years Diploma or
Address Tel Fax E-mail Major
(From-To) School of Study Degree

14. Employment History (In chronological order):

Dates
Name & Address of Organization Position Type of Work
(From-To)

15. Language Proficiency

Languages Excellent Good Fair Poor

Korean

English

16. Person to be notified in the applicant’s home country in case of emergency:

Name in Full:
Address:
Telephone, Telex or Fax No:
E-mail:

I declare that the information contained above is accurate and true. If there is any falsity in the
submitted materials, I will take a full responsibility.

Date of Application:
Applicant’s Name:
Applicant’s Signature:

Form A (Page 2 of 2)