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Application for Incoming Exchange Student Program
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Office of International Affairs(OIA)
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Korea Maritime & Ocean University(KMOU)
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Academic Year/Semester
you wish to enter		Year ( ) / Spring □ Fall □(Insert a file of your
face photo)
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Program Type
□ Credit Exchange
□ Joint Research Exchange		Undergraduate ProgramMaster Program
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□ One Semester□ One Semester
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□ Two Semesters□ Two Semesters
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Full Name
(On your passport)		Family(Last) NameGiven(First) NameMiddle Name
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Gender□ Male □ FemalePassport Number
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Date of Birth (as it appears on your passport: mm/dd/yyyy)
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NationalityTelephone Number
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E-mail AddressSNS & ID(Kakao, Wechat, WhatsApp, Line etc.)
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Permanent Mailing Address
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Home University NameYour Major
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C.G.P.A( ) out of ( ) ex) 3.5 out of 4.5
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{Study at KMOU}
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Academic Department
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Proficiency in Korean□ Excellent □ General □ Average □ None
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TOPIK(Level): '
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Proficiency in English□ Excellent □ General □ Average □ None
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TOEFL(score) IELTS(score) Other '
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Housing Type□ Dormitory on campus □ Off campus
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GKS Fellowship□ Yes, I wish □ No, I don't wish
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** International office at your home university
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Coordinator's NamePosition
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Office Address
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Office Phone NumberE-mail Address
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** Indicate the person that will be responsible for your costs in Korea
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NameRelationship
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Mailing Address
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Phone NumberE-mail Address
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I guarantee that I will be responsible for the above named applicant's all expenses
for the duration of the whole program.

Guarantor's Name: (Signature)
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** Statement of understanding, information Release Agreement
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I certify that the information provided on this application is correct and I agree to abide by all the rules,
regulations, and requirements of Korea Maritime & Ocean University and the laws of Republic of Korea.
I hereby authorize Korea Maritime & Ocean University to release the information on this application
to Korea government agencises and the embassy of my country as required.

Month ( ) Date ( ) Year ( )

Applicant's Name: (Signature)
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