[ 34]

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APPLICATION FORM (REPORT FORM)

SELECT APPLICATION
[ ]
ALIEN REGISTRATION

[ ]
ENGAGE IN ACTIVITIES NOT COVERED BY THE
STATUS OF SOJOURN

PHOTO
(3545)

[ ]
[ ] /
REISSUANCE OF REGISTRATION CARD
CHANGE OR ADDITION OF WORKPLACE
[ ]
EXTENSION OF SOJOURN PERIOD

[ ] (, )
REENTRY PERMIT (SINGLE, MULTIPLE)

[ ]
CHANGE OF STATUS OF SOJOURN

[ ]
ALTERATION OF RESIDENCE

[ ]
GRANTING STATUS OF SOJOURN

[ ]
CHANGE OF INFORMATION ON ALIEN REGISTRATION

Surname

Name In Full

Date of Birth or
Alien Registration No. (If any)

Passport No.

Address In Korea
Telephone No.

Address In Home Country

Currennt Workplace

Workplace

New Workplace
Intended Period Of Reentry

Given names

Year

Month

Gender

[ ] M
[ ] F

Regstration No.

Nationality
/
Others

Passport Expiry Date

Passport Issue Date

Cell phone No.

Telephone No.

Telephone No.

Telephone No.

Business Registration No.

Business Registration No.

E-Mail

Date of application

Day

Photo only for
Alien Registration
(Reissued)

Signature/Seal

52( )

52( ) ,
, ,

(Consent for sharing of administrative information)

36
.
* .
I, the undersigned, hereby consent to allow all documents and information required for the processing of this application to be
viewed by the public servant in charge. As specified under E-government Law, article 36. *If you disagree. you will present all
related documents yourself.

Applicant

signature/seal Spouse of applicant

signature/seal Father/Mother of applicant

signature/seal

(For Official Use Only)

()

()

(Revenue Stamp Here) / (exemption) [ ] (:

210mm297mm[ 80g/()]

 [ 343]

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[ ]

[ ]

[ ] /
/

[ ]

[ ] (, )
( ,)

[ ]

[ ]

[ ]

[ ]

(3545)



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[ ]
[ ]

.

.

52( )

52( ) ,
, ,

()
36
.
* .
36 1

()

()

()

() / () [ ] (:

210mm297mm[ 80g/()]