2011fall_2012spr_form1

SEOUL NATIONAL UNIVERSITY Form 1: APPLICATION FOR ADMISSION
REGISTRATION NUMBER
*Do not write in this area.
• Please type or print in English or Korean. This form is two pages in length. • Print this form after completing the online registration and mail it to the
following address :
Office of Admissions Seoul National University 599 Gwanak-ro, Gwanak-gu Seoul 151-742, KOREA
COLLEGE / DEPARTMENT
• •
For which admissions season are you applying? Fall, 2011 Spring, 2012 Check the appropriate box and indicate your desired program of study. Please consult the admissions booklet Appendix 1. You may only apply to one program. Undergraduate Freshman Undergraduate Transfer Master’s Program Doctoral Program College ______________________ College ______________________ Admission Unit _______________________ Department __________________________
College / School / Major ______________________________________________________ College / School / Major ______________________________________________________
PERSONAL INFORMATION
English Name: _________________________
Family / Last (姓)
_________________________
First (名)
_______________________
Middle (if any)
Salutation:
Mr.
Ms.
Korean Name / 姓名: ____________________________________________
Resident Registration Number / Passport Number: ____________________________ / __________________________ Nationality: When was your nationality acquired (國 Date of Birth: _____________________ 得 ): Single Married Other ___________________ Place of Birth:
Marital Status:
Mailing Address: __________________________________________________________________________________ ___________________________________________________________ E-mail: ____________________________
Telephone (Korea or permanent residence): ________________________ Cell Phone: _________________________
FAMILY INFORMATION
FATHER Check one : Full Name: Date of Birth: MOTHER Check one : Full Name: Date of Birth: Mother Mother deceased Nationality: Resident Registration No./Passport No.: Father Father deceased Nationality: Resident Registration No./Passport No.:
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Check if applicable:
Parents divorced
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ACADEMIC INFORMATION
※ In chronological order, list the names and complete addresses (including zip code) of all the schools and institutions that you’ve attended. Indicate the expected date of graduation for the current school. ※ International applicants whose parents are Non-Korean citizens should include only the information for the last or current school.
Dates Attended (DD/MM/YY) Primary (Elementary) Schools From To From To From To From To From To From To From To From To From To From To From To / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / Name of School Complete Address of School, including Country (English only) Date of Graduation (DD/MM/YY) Telephone, Fax School / Institution E-mail Address
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Secondary (Middle & High) Schools
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Post-Secondary Studies (Undergrad / Graduate)
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(Major: )
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(Major: )
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(Major: )
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I declare that the information contained in this application is complete, accurate and true. I understand that any untrue, misleading or omitted information may result in my disqualification from further consideration for admission and will be cause for the rescinding of any offer of admission, or for discipline, dismissal, or revocation of degree if discovered at a later date. ____________________________________________________________ _____________________________________________
Applicant’s Signature Date (DD/MM/YY)
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