Application form for FLC 2023

 

 

 

 

한글 또는 영어로 작성하세요

Do not abbreviate

Optional fields are marked with an asterisk (*)

If you need to provide additional information, attach additional documents to your form

 

ID PHOTO

35x45mm

 

NAME

(여권상 성명)

 

Last:

First:

Middle/Patronymic:

Korean name:                       

(if applicable)

GENDER

( )

 Female       Male

OCCUPATION

( )

 

(e.g. lawyer, educator, surgeon, politician – list only one)

BIRTH INFORMATION

(출생정보)

 

Birth Country:                                        City:

Birth date:           /     /       

               (birth year/month/day)

PASSPORT Information

(여권정보)

No.:

Name:

Nationality:

YEAR OF IMMIGRATION

(이주년도)

 

(Year of immigration from Korea, if applicable.)

CURRENT ADDRESS

(현재 주소)

 

 Home       Office

 

Country                                         Zip/Postal code                    

State                                        City                              

Province/Region                                                                

Street address                                                                                        

 

CONTACTS

(연락처)

Home:        (national code) (area code)                            

Office:        (         ) (       )                            

Mobile:        (         ) (       )                            

E-mail:                         @                              

SNS:                            

  

LANGUAGE

COMPETENCE

(언어 능력)

Mother tongue:

Available Language      Korean     Chinese     English     Japanese     Russian

(except mother tongue)

EDUCATION

( )

Year(s)

School/Major

Country/City

Earned degree

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CAREER HISTORY

( ) 

 

(List in chronological order starting with current position)

Years (from/to)

Organization

Position

Country/City

      - pres.

 

current position

           

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

 

 

 

 

*CIVIC, POLITICAL, PHILANTHROPIC ACTIVITIES AND CURRENT MEMBERSHIPS

(시민, 정치, 자선활동  현재 회원 내역)

Year

Role

Organization

(do not abbreviate)

Location

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*AWARDS, HONORS, GRANTS

(수상 내역)

Year

Award

Granting body

Location (if applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*OTHER ACHIEVEMENTS

(기타 업적)

 

*ADDITIONAL INFORMATION

(추가 정보)

 

 

 

 

(e.g., professional certifications, military records, affiliations, religious denomination, avocations etc.)

 

 

I certify that the statements made by me in the above application form are true, complete and correct to the best of my knowledge and belief.

 

 

 

 

 

 

DATE:  2023/    /                 SIGNATURE                               

YYYY/MM/DD