| 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 |
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NAME (여권상 성명) |
Last: First: Middle/Patronymic: | Korean name: (if applicable) | ||||||||||
GENDER (성 별) | ◻ Female ◻ Male | |||||||||||
OCCUPATION (직 업) |
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(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) |
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(Year of immigration from Korea, if applicable.) | ||||||||||||
CURRENT ADDRESS (현재 주소) |
◻ Home ◻ Office
Country Zip/Postal code State City Province/Region Street address
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CONTACTS (연락처) | Home: (national code) (area code) Office: ( ) ( ) Mobile: ( ) ( ) E-mail: @ SNS:
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LANGUAGE COMPETENCE (언어 능력) | Mother tongue: | |||||||||||
Available Language ◻ Korean ◻ Chinese ◻ English ◻ Japanese ◻ Russian (except mother tongue) | ||||||||||||
EDUCATION (학 력) | Year(s) | School/Major | Country/City | Earned degree | ||||||||
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CAREER HISTORY (경 력)
(List in chronological order starting with current position) | Years (from/to) | Organization | Position | Country/City | ||||||||
- pres. |
| current position |
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*CIVIC, POLITICAL, PHILANTHROPIC ACTIVITIES AND CURRENT MEMBERSHIPS (시민, 정치, 자선활동 및 현재 회원 내역) | Year | Role | Organization (do not abbreviate) | Location | ||||||||
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*AWARDS, HONORS, GRANTS (수상 내역) | Year | Award | Granting body | Location (if applicable) | ||||||||
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*OTHER ACHIEVEMENTS (기타 업적)
*ADDITIONAL INFORMATION (추가 정보) |
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(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