ousatele AMAR (HI RITE) (oe | Pant) AMBSaNaM VISA APPLICATION FORM <0 Sea > SRLS silo Sst ae] BNE IRE BHO ee > MBH GE Meola GWE OF EE YEOR AMMeo) Bich > suaiele oe 2] Gol «Alm opr wie + Die) a dee BF, adee ZINeeIr| BAe tow tof ut thi fw the cians mst 11 at this frm expel ae ert 2 annlican mst wits in block letters eitor in Exlih o Here Fer mltple-ctoice aesties, the aplicant mst check [] all that ely IF the aolicant selaets ite, sess roi wre information in the given se puoro 1-1 0486 74 1 A484 Full na in English (as how in pascport) BS a rayne Gian tes (Seextsen) 2d TEST og BE Ws MRR 820 12 ORS AFH 1.3 8 Sox hone eva ‘aMalel 1 o8/Faaiel 1 ol set fk win 4 LAL Dato of BIE ria) 1.538 tarot ity ‘agin! vite or oft 1.6 @871 Country op > a Has the applicant ever weed any other nantrerSrter gett 17 B7IMEBRLE nation! lamty 1.9 54 38 O1F Le the applicant «citi o fostry? hie we 1 a Yel 1 21d Xm[ MAPA G |) BE SAALH el)(oJ ages) 8.1 BEF Passport Te ‘12 Diplomatic (1 B€ oficial [1 Bet egular [1 1h other] IEF MLA 11 ‘OMe’, please prove detaile | i 3.2 O11 Paxoort {9.8 SHBA7! country of Fassort (9.4 WAM] Plame of Ise 3.5 WHR one of love 8.6 71210129 Dato ot Einy 8.7 CHB FS AX] OF os the aplicnt tw any ter valid puspris? O&M 1 al Yes] “+O a8 A) AIS 70 It "Yes", please provide dtalis a) FS Pasprt Tye 1B Diplatie (1 ‘28 official |] Be fegular (1 2h other { 1] 1) OBL Passer: ©) WBAP Canty of Pasert——g) 212113 bate of Bpiry 41 23 $2 How Guiry Mts of tho aplicnt 42 HOFFA orn sett ess 17D} PP 7H Pie wit he cert adds it sitet ‘ioe 48 RUBE cal Fone No. = BUR Miho SCA BR El ee aad a1 EB Ful Nave in Erich 1) Zt Cary ltrs © 88H Terre No peal rt othe eat 5.1 GM SOLA Curent Marsal Status 718 wailed |) 818 Divooed |] lg Sine (_) S204 EW! ear Inetind! Heaplicat sQnee 7182S S7EFORI7A al eax pos aase! reams 4) Fay Ane (in El) 1) Genta (in Est) 2) MWe Dat of Bit (yyy) ) 324 Naterality ©) AH Rela sores 1) tt cama o 5.3 Mt Does the applicant have children? we WL 58 ves its number of hilar [ 18.1 AESfet wat os tw higest aro o ul of eatin heap ica. caplet 7 Antes s Dat Daye] 1S acheter’ Oagee [1 25 High Sohn! Dipena { a ot ( + JIE) ASE Al AMS 218 It ‘the pease prove etal ( ) 6.2 8 hie of Sel (6.3 1 AAR! [eatin of Sl ctsfororivs/oantey) Tomxenl aA GTa) SE BEN GIAT(oth J ages) TA AI. Durant prea ciranstarcos Nope Emvepraeur[ ] SN Salt-aployed (—] ate eon [ ‘B54 civil Servant ( 8a student (1) 91% Retired () 241 lhowloyod ( rie otter ( DEF A) A] AMA 2 IF her”, plese provise settle ( 1 7.2. 4 SAIS talon Das 9) BAN 712/S2G Naw of oye oo) 1) AFUE Peston Gare 2) SARA FE has of Comat tutel Sdn! ) S818 Teepe 8.1 2153544 Pupoce of Vio Korea BRIEF Tourisn/Tensit |] WAIRAMesting, Conerence [ ] SBR Metical Tours (1 2718 sins Trip) AIO Swng L OME Hon] 5/5/90 Tra oostst/Inca= 245 SE RAI Visiting Family! a CrperateTrartere flat ives/Friends () MEOH! Marin Migrant ‘21/8 DiploticOiticial ( 218 Over = D1EF MG A 218 Ota, po He cle ( ’ 8.2 M-FOHZ712+ intended Period of Stay 494 Intended Date of Eniy a4 ARORZER 3) saan in Kawa Serta 5 BI Ae} ortact Wo. in Horse 86 Hl 5d BAS WEA AA has me Korea inthe st 6 yea? O42 Nol 1 al Yes] ora es, leas povided ofan ls to Koen C14 times, 8B5% Puose of Vist ee 87 BF 2p D4 52 Ole 37} Hes the ap icnt wasn cus Het coumy cl ear, exluro fe Ka, ne tere Guz Me |) Ales | = "W'WS A) SAME 7 FY ese pov dae of tse tes SRB Name of County Gi Eran) | BEBE Pons of Vit GEL Sa imate s(Dg/n) EE BERCOO/e))(018 | Page 8.8 SU H& 71% #2 Does the aopicart have ay famiy members) staying in Korea? OB NDE | aLYee [| "OSE A AES 77H oR’, lose prov dale of ho fay meer), 8 Fulnave nergih | AEA Da gm ga, Al erg tote ee ass waa, ki BF, wl ‘SiO le foes = Se. te, paes siblings of the lca 8.9, SHS 71% 5 Is the applicant raaing to Korea wih ary tani mabe) ? OHS Nol | of Yes [ ] = PAS A AWS 7.4 IF Yes, please provide deals of the family rmambers) the aplicant i wareling wih ‘8! Ful nae n Enlsh “Bey Dat ght | HL, 2 Pasa 9.1 BASVAASIM Is ttre rere inviting the wpLic 10 te vs ought) ate ow Saree 4) BMOERAAS te of taitro oa 1b) SARS /AlerXS SLs Cate of Bir thusly totsicant wo ©) A Feat to tho pliant © 6 F2 dares 1 e} E8ILE Poe Wo, 10.1 HEB(O1F Ge] 71) Estinated travel costa alias) 10.2 BPM to il py forth pliant teaw-olatd mares? yl oun cr fe abate ogni) 4) S/S) 4) Ne of Feren/Ogaizatin (Cy) 1) BA felationhip to te aplicat AS Tye of Sas AH contact Wo 11.1 0] ASME ASEHECL CHE AIRS SB WEI oid te mplicnt receive esistance in coletng this Tor? OFS [ 1 AYes( J -+ W884) AMMAR ZU Yo, plan provide aie ct te parson sho asad ‘he aplicat 9 ae “WERE One OB | ety Tana Wo. a oa Coimwg) | 5 Telethon NO. | ieee aecert Fm Hin DA ao Te) SE BURT WGIvase) — 1. A IMAG} Bio INE USE SAIS RAMI Be RE Sie AR + UedCl 1 extra space Is eed to complete any item, record ona separate set ot pepar or stmt relat docitenis sich eau support the aplication 2. OS eg UWE PBA Ge We S91 SE Be He EWS Asus, UNE AOEEE we FUSS Cae AGES AEael-laol Sesto) Bch 11 you received Korea vse approval, are hae nev passport stud theret erin ie o! lst! damaged pasoor 1, Jou mist moti the cxenimee viea otto oF tangs In eH pasar tora en, 3. Alga SEWERS CLs GIs A) BDI Alp] Ma FOIE CeelsO=a eo) SIS] We > SIQLICY Prccscion of a vies dos rot entitle te bearer to onter the Rapbl ic of Kora upon arrival atthe port of ‘ent if else is fou aces 4. HRSA NRA, MER TH mel CAE HBAS 19 Fa ARAB Baw + aOUct Pease note tat eatery C visa olders are ot abe to change tei sats of sty aftr tele ery Into te Reps ic of Koren in accordance with Article 91) of te Etecemnt Regulations at tte Inngration Act. 5. AURA PN HE SAG Mao] ASI ASAI ABBE ABP) aAsfs, SINE. BIST] LOL aul Providing false informaten or soca leads to reat in of avis ani permission to stay, ard may result In rina puns ar an ni tan tothe Pau ic of Kove, SABA Beet at ME Me O70 lex) FE ae, AIBA! AIGSPILY ABO] BA BF AU Failure fo smi allreqirad shown ny cause clay o” inal of via 7, ASW A BRE “HES oS wm. visn. gar” OL HOLA Ho}, ISSR AIE BS DI BY te BFol= SE ae Evi ee) BA vel del: SRY 27[s NS mA/HE - WRATH gCY - TER @ Ae oe, de, aay ae Fa Visa eplicants mist check online n tiyforea Visa PEEL tex (mw visa. got} for visa aplication results To receive the eisapprval noffceinaritten fre, visa bl icants ast visit the dplonetic office td apply in person. + fo toes rts lik Om oct ‘ lesion of Vin Pra min isi = ioe ‘2k ection Sat & Pre” ~ sles og gh Int in n she laws, -ZSlS Hol GIN Sostc}, o| sala ing! Bol 71a! Gol wish ASIA eelwUCt SH EOE Gbleaa [Buse Aas SFE AS NHC! | declare tht | agre nth the terms of pplication including the contents of the notice proved abv, that statetets mage In thi opl eaten are 118 and crest, sh tht | mI campy with the imirat on Ao a the epic af Keres FFF ARINC. Ec AALCAION (yy ae ee esis) ‘ean he uote ICA 17H olga] a ee BszIele| MBE TIE 1 Sigrature of Pareto: Legal Guarani recut fora pwn wr 7 yours of ae eH MgO) Bois ao Ae APLC Be oF BaD] Boi fe Fallot provide rane and gata nay rel In your ep ication beng ene Wee) venaaee ry ieee i ee [Wee jo ik |e, ake 2k +) Be 7 ee wage ange wag? valet onteHn sont ovale eal Fim AADa/n) EE BERL Wl