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首尔大学入学志愿书.doc

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REGISTRATION NUMBER *Do not write in this area. Seoul National University Form 1: APPLICATION FOR ADMISSION · Please type or print in English or Korean. This form is two pages in length. · Print this form after completing the online registration and mail it to the Office of Admissions following address : Seoul National University 1 Gwanak-ro, Gwanak-gu Seoul 151-742, KOREA COLLEGE / DEPARTMENT · For which admissions season are you applying? c Fall, 2013 c Spring, 2014 · Check the appropriate box and indicate your desired program of study. Please consult the admissions booklet Appendix 1. You may only apply to one program. c Undergraduate Freshman College ______________________ Admission Unit _______________________ c Undergraduate Transfer College ______________________ Department __________________________ c Master’s Program College / School / Major ______________________________________________________ c Combined Master’s/Doctoral Program College / School / Major __________________________________________ c Doctoral Program College / School / Major ______________________________________________________ PERSONAL INFORMATION English Name: _________________________ _________________________ _______________________ Family / Last (姓) First (名) Middle (if any) Salutation: c Mr. c Ms. Korean Name / 姓名: ____________________________________________ Resident Registration Number / Passport Number: ____________________________ / __________________________ Nationality: Place of Birth: When was your nationality acquired (國籍取得日- DD/MM/YY): Date of Birth (DD/MM/YY): _____________________ Marital Status: c Single c Married c Other _______ Mailing Address: __________________________________________________________________________________ ___________________________________________________________ E-mail: ____________________________ Telephone (Korea or permanent residence): ________________________ Cell Phone: _________________________ FAMILY INFORMATION - 1 - FATHER Check one: c Father c Father deceased Full Name: Nationality: Date of Birth: Resident Registration No./Passport No.: MOTHER Check one: c Mother c Mother deceased Full Name: Nationality: Date of Birth: Resident Registration No./Passport No.: Check if applicable: c Parents divorced ACADEMIC INFORMATION ※ In chronological order, list the names and complete addresses (including zip code) of all the schools and institutions that you’ve attended. Indicate the (expected) Graduation date or the Last date of Attendance for the current school. Dates Attended (DD/MM/YY) Name of School Complete Address of School, including Country (English only) (Expected) Graduation or Last Date of Attendance (DD/MM/YY) Telephone, Fax School / Institution E-mail Address Primary (Elementary) Schools From / / To / / / / From / / To / / / / From / / To / / / / Secondary (Middle & High) Schools From / / To / / / / From / / To / / / / From / / To / / / / From / / To / / / / Post-Secondary Studies (Undergrad / Graduate) From / / To / / (Major: ) / / From / / To / / (Major: ) / / From / / To / / (Major: ) / / I declare that the information contained in this application is complete, accurate and true. I understand that any untrue, misleading or omitted information may result in my disqualification from further consideration for admission and may cause for the rescinding of any offer of admission, or for discipline, dismissal, or revocation of degree if discovered at a later date. I agree to abide by the rules and regulations in the Admission Guide for International Students and will take full responsibility for any problems arising from failing to adhere to the same. ____________________________________________________________ _____________________________________________ Applicant’s Signature Date (DD/MM/YY)
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