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1. *n篘酧o` / personal detailsphoto
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la?漫n"r"t"???????????????
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la?漫p?儋?j$l$r$t$|$~$?????????????????????%%%%
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la?漫 $劼d轧??$1$7$8$h$ifwd?`劼a$gdp€????????????'''
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la?漫d'f'l'p'r'???????钬廓貞妘^i3*h??cjojpj^jajmh nhsh th(h??h??cjojpj^jajnhth-h??cjojqj^jajmh nho(sh th(h??h??cjojpj^jajnhth h/o?h??0h/o?h??5丅*cjoj
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la?漫p?儋???????????????((( ($(((6(8(:(<(@(b(j(l(\(`(d(j(?胝胝胝胝胝牖』胝雿雿w』针针嶋?(h??h??cjojpj^jajnhth h/o?h??cjojqj^jajnho(th'h/o?h??cjoj^jajnho(th3h/o?h??cjojqj^jajmh nho(sh th3h/o?h??cjojqj^jajmh nho(sh th*h??cjojpj^jajmh nhsh th(h??h??cjojpj^jajnhth ????????????????)))))栌建敤z`咏ń↙〝?ń-h??cjojpj^jajmh nho(sh th'h/o?h??cjoj^jajnho(th3h/o?h??cjojqj^jajmh nho(sh th3h/o?h??cjojqj^jajmh nho(sh th'h/o?hjcjoj^jajnho(th(h??h??cjojpj^jajnhth*h??cjojpj^jajmh nhsh th(h??h??cjojpj^jajnhth-h??cjojqj^jajmh nho(sh th)) )")@)d)f)h)v)\)`)d)h)j)~)???????????胱胱阔霑胱氆€昸譳桌k昸譳u hp€hp€cjojpj^jajnho(th(hjh??cjojpj^jajnhth(hjh??cjojpj^jajnhth*h??cjojpj^jajmh nhsh th)h鋂?cjoj^jajmh nho(sh th-h??cjojpj^jajmh nho(sh th'h/o?hjcjoj^jajnho(th(h??h??cjojpj^jajnhth???????:*|*€*?????????檠檠檠华粭恴clz6棎*hjcjojpj^jajmh nhsh th-hp€cjojqj^jajmh nho(sh th-hjcjojqj^jajmh nho(sh th*hjcjojpj^jajmh nhsh th h/o?h??$h/o?h??cjoj^jajnhth!hp€cjoj^jajnho(th hp€hp€cjojpj^jajnho(th/hp€hp€cjojpjqj^jajnho(th hp€hp€cjojqj^jajnho(th?????|` $勅??$1$7$8$h$ifwdd`勅a$gdp€dkd?$$if杔?攚?v'€????6??? ? ?4?4?
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la?漫????,???
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8. €愾嫼n酧o` / details of sponsor8.1 €愾嫼n/€愾婾smo do you have anyone sponsoring you for the visa ?
&t no [ " ] /f yes [ ] ? 俌╜ 愰b g 鲖橯wqso匭筟 if yes please provide details€愾嫼n/€愾婾smo
t饄 name of your visa sponsor (korean, foreign resident in korea, company, or institute)
b) 鶴 u錯 g/%?ngbgq鱏x date of birth/business registration no.
sq鹼 relationship to you
d) 0w@w address
e) 5u輯鱏x phone no.
9. 繈顣酧o` / details of visit9.1 t嶉楊v剉 purpose of visit to korea 聣iq/蟸1u tourism/transit [" ]耂燫o畫/meeting, conference [ ];s梪聣iq medical tourism [ ]韜 gfu business trip [ ]yuf[/x頞 study/training [ ]1\n work [ ]8?f/昩d?>m{歍rade/investment/intra
-corporate transferee [ ] 睳visiting
family/relat ives/friends [ ]觺zz鹹l marriage migrant [ ]y/lq diplomatic/official [ ] vq諲 other [ ]? 俌╜ 愰b vq諲 鲖橯wqso匭筟 if other please provide details ( )9.2 剺歔\pyu鰁魰intended period of stay
7)y9.3 繈闂剺歔錯 intended date of entry
9.4 闂齎t€鹼0w@w(s靊r憲^) address in korea(including hotels)
9.5 闂齎僗匭t€鹼筫_ contact no. in korea
9.6 g褟5t^匭/f&t繈顣菑闂齎 have you travelled to korea in the last 5 years ?
&t no [ ] /f yes [ ] ? 俌╜ 愰b /f 鲖橯wqso匭筟 if yes please provide details of any trips to korea
( ) !k times, g褟繈闂顅剉 purpose of recent visit ( )9.7 g褟5t^匭/f&t繈顣菑vq諲齎禰闂齎d?y have you travelled outside your country of residence, excluding to korea, in the last
5 years ?
&t no [ ] /f yes [ ] ? 俌╜ 愰b /f 鲖橯wqso匭筟 if yes please provide details of these trips齎禰 name of country 繈顣顅剉 purpose of visit繈顣 g魰 period of stay
(yyyy/mm/dd)~ (yyyy/mm/dd)9.8. tl埗[^\ are you travelling to korea with any family member ?
鄀 no [ ] g yes [ ] ? 俌╜ 愰b g 鲖橯wqso匭筟 if yes please provide details of the family members you are travelling with覻
t full name in english鶴 u錯 g date of birth
(yyyy/mm/dd)齎m|
nationalitysq鹼 relationship to you* 耂€: 禰^\凈v m憊p, p[sy, 6r蚹, dq _衁筜
note: definition of a family member - your spouse, father, mother, children, brothers and sisters
10. 繈顣蟸9?/ funding details10.1 繈顣蟸9??cq:n鶺芉) estimated travel costs(in us dollars) 2000?cq10.2 繈闂9?u/e豊€ who will pay for your travel-related expenses ? (any person including yourself and/or institute)a) 覻
t/usmo
t饄 name of person/company(institute)
,g篘b) sq鹼 relationship to you
c) /e鬰匭筟 type of support
d) t€鹼5u輯 contact no.
11. kx橯3u鲖h場e/f&t譙菑.^㏑ / assistance with this form11.1 ╜(wkx橯3u鲖h場e/f&t譙菑 r篘剉.^㏑ did you receive assistance in completing this form?
&t[ "] no /f yes [ ] ? 俌╜ 愰b /f 鲖橯wqso匭筟 if yes please provide details of the person who assisted you覻
t full name鶴 u錯 g date of birth
(yyyy/mm/dd)t€鹼5u輯 telephone no.sq鹼
relationship to you
12. 搳 / declaration
* ~{翄裇賬歔fnc g€_n{榢x橯
those who possess confirmation of visa issuance must only complete section 1,2, and 12 of this form9hnc,g篘@b鍂@b酧 b餢f錘
n@b gh栶廏w w瀃0芉nx0孾te0b\u悎['y闂l齎剉鶴eq僗t誰媉誰膲0
i declare that the statements made in this application are true and correct to the best of my knowledge and belief,
and that i will comply with the immigration act of the republic of korea.3u鲖錯 g (t^. g. 錯) date of application (yyyy/mm/dd)
? ? ?3u鲖篘~{
t signature of applicant
3u鲖篘*g醤17乗 6r蚹b誰歔裿篘~{
t
signature of parent or legal guardian?s for a person under 17 years of age
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attachment1. 0鶴eq僗t誰瀃l埬?r
0 ,{76ag,{1y榌h?h 5]~{翄裇賬3u鲖i{d桍n
鑜a婲y?notice1. gsq
n饛婲y?,gh垈y
n ykx橯颯鍿燫d杣?b/f龔燫衏汷鴙sqpg檈0
if extra space is needed to complete any item, record on a separate sheet of paper or submit relevant documents which could
support your application.
2. 俌╜剉'y闂l齎~{翄梍0ryb芉t郪w?y0_c羕i{烻郪峇!k~{裇 臺{?愬w~{翄yt:g刧豐鬴剉gq酧o` 錘縊芉nx蚐
f*n篘酧o`0
if you received korean visa approval, and have new passport issued thereafter in lieu of lost/damaged passport, you must
notify the concerned visa office of changes in your passport information.
3. 3u鲖篘鍌(weq僗'y闂l齎鰁珗裇皊/f
n笅颯eq僗€ ssoc g闂齎~{翄_n鄀cgeq僗0
possession of a visa does not entitle the bearer to enter the republic of korea upon arrival at the port of entry if he/she is
found inadmissible.
4. 9hnc 0鶴eq僗t誰絜l埬?r
0,{9ag,{1y?c{|~{翄c g€eq僗闂齎t
n梍豐鬴辬yud?h0
please note that category c visa holders are not able to change their status of stay after their entry into the republic of korea in
accordance with article 9(1) of the enforcement regulations of the immigration act.
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