Registration                                  No.

_____________________________

 

¡Ø Class :

                                   (Do not write about this.)

PERSONAL DETAILS                           

¼º¸í (Full Name)   Mr ¡à    Ms ¡à

 

                                     

                                     

ÇÑ±Û Korean (if possible) 

¿µ¹® English

 

 

»ý³â¿ùÀÏ: ___________________  

±¹Àû: ________________ 

Date of Birth   month/day/year

Nationality

 

 

ÇÐ ±³(School) : _______________________________________________

ÁÖ¼Ò (Address)    
                                                           
                                                           

 

 

________________________

________________________

ÀüÈ­¹øÈ£(Phone No.)

ÆÑ½º(Fax No.)

 

 

__________________________

 

Çѱ¹¿¬¶ôó (Phone in Korea)

 

 

 

ÀüÀÚ¿ìÆí(E-mail)

 

 

 

 

 

GENERAL INFORMATION

 

 

 

ÀÌÀü¿¡ Çѱ¹¾î¸¦ °øºÎÇÑ ÀûÀÌ ÀÖ½À´Ï±î? 
Have you studied Korean before?  (If 'yes', please write where, when and for how long.)

 

 

 

 

Çѱ¹¾î ´É·Â(Fluency in Korean )

 

ÀüÇô¸øÇÑ´Ù
None

¾à°£ ÇÑ´ÙPoor  

ÀßÇÑ´Ù
Good

¾ÆÁÖÀßÇÑ´Ù
Excellent

 

 

¡Ø ´ÙÀ½ ³»¿ëÀ» Àß ÀÐ°í ¼­¸íÇϽÿÀ.
  Please read carefully and sign below :
 "I understand that :
 1. deposits are not refundable :
 2. all fees must be paid with this application before the camp ;
 3. fees are only refundable if I am refused a visa or the camp is cancelled.

 

 

 

 

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Signature   

Date

 

 

 

 

¡Ø Áö¿ø¼­¸¦ ´Ù ÀÛ¼ºÇÑ ÈÄ¿¡´Â ¿ìÆíÀ̳ª ÆÑ½º·Î º¸³» ÁÖ¼¼¿ä.
Please mail or  fax the completed application form to Chonnam University
to the following address.
     (Fax) 82-62-530-3629
     (Address)   To :  Won, Hee Jung
                Language Education Center
                Chonnam National University
                300 Yongbong-dong, Puk-gu, Kwangju, 500-757,
                Korea