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APPLICATION
FOR VISA
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4low to f ill out this forp
> You must fi I I out this form completely and correcily.
>You must write in block letters either in English or Korean.
> For multiple-choice questions, you must cl'eck

>

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you

select '0ther' , please provide us ulth

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name

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in Englisl-r (as

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background)

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Date

of Birth

Country

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Given Mne

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Conf i rmat

Names

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Have you ever used any other names to enter or depart Korea?
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in your passport)

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asainst white or off-white

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A color photo taken wthin

last 6 months(full face
without hat, front view

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that apply.

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lssue Date

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Those who have confirmation of visa issuance must move to sect ion '12 (Declarat ion) to complete this
(Those wi th visa issuance conf i rmat ion must not f i I I out sect ion 3-11 ) .

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married

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contact

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c) Sull Relation*rip to

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Korea

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tusiness Trip [ ]

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nooress in Korea(includins hotels)

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HJltt-lzl-Z Did you receive assistance in

corpleting this form?
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8DJ Full Name

Date of Birth

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EaJx{ Teleohone

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your spouse, father, mother, chi ldren, brothers and sisters

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ldeclare that the statsents made in this application are true and correct
ief, and that I wil l conply with tlre lnrnigrailon Act of tire Republ ic of Korea.

to the best

oI my knowledge and

bel

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complete any item, record on

could suppori your application.

separate sheet

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lf you received Korean visa approval, and have new passport issued thereafter in lieu of lost/damaged passport, you
must notify the concerned visa office of changes in your passport information.
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Possession of a visa does not entitle the bearer to enter the Republic of Korea upon anival
at the port of entry if heishe
is found inadrnissible.

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ihat category C visa holders are not able to change iheir status of stay after their entry into the Republic
of
In accordance wiih Ariicle 9(1) of the Enforcement Begulations of the lmmigration Act.
Please note

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