2016Marzo14_ProgramaBecasGobiernoCoreano2016EstudiosPosgrado_ANEXO03

8/20/2019 2016Marzo14_ProgramaBecasGobiernoCoreano2016EstudiosPosgrado_ANEXO03

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FORM 1. Application Form

Application Checklist

지원자 제출서류 체크리스트

Institution Receiving Application (접수기관) :

Person in Charge (확인자) : ignature(인)

1) Name of Applicant: (Surname) (Given Name)

2) Country :

3) Desired Degree rogram : ☐ Doctoral ☐ !aster"s

(!Please check (") in the appropriate #o$.)

Application DocumentsSu#mission Status

$es No

1 Application %orm (%orm 1)

2 Self&'ntroduction etter (%orm 2)

3 Statement of urpose (%orm 3)

*N+ etter of ,ecommendation (%orm )

- .GS Applicant ledge (%orm -)/ ersonal !edical Assessment (%orm /)

0 acelor"s Diploma or Certificate of Degree : original copy

acelor"s 4ranscript: original copy

5 !aster"s Diploma or Certificate of Degree: original copy

16 !aster"s 4ranscript: original copy

11 Applicant"s roof of Citi7ensip

12 arents" roof of Citi7ensip

13 Certificate of .orean Citi7ensip ,enunciation

1 Adoption Documents (*verseas .oreans Adoptees *N$)

1- Certificate of 4*'.: original copy

1/ Certificate of +nglis roficiency 4est: original copy

10 u#lised apers

1 A8ards

,+G'S4,A4'*N N9!+,

eave tis ta#le #lan;


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%orean &overnment cholarship Program (%&P)'or &rauate egrees

Application Form

Please check ( ☒ ) the following. Click the box to check or uncheck.

1. Application *rack추천기관☐ +m#assy재외공관 ☐ 9niversity국내대학

+. *,pe o' Application추천유형☐ General일반추천 ☐ *verseas .orean Adoptee 입양인

-. esire Fiel o' tu,희망계열☐ i#eral Arts and Social Science인문사회계열☐ Science< 4ecnology and +ngineering자연공학계열☐ Arts and Sports예체능계열

. egree Program to Appl,지원과정☐ Doctoral박사과정 ☐ !aster"s석사과정

Please complete the form below. It must be typed in English O!".

Full /ame성명

#urname 성 $i%en ame이 &ener성별 Marital tatus!"#

oto

Si7e: 3cm = cm

☐ !ale☐ %emale

☐ Single☐ !arried

※0rite the passport name.

Date of irt !"#일($$$$>!!>DD)

Age$이

Country 국% Citi7ensip 국&

assport'(정)

umber

&ate of Issue &ate of Expiry

Contact 'nformation연*+

!Must #e applicants

'ddress

Phone (ust start with the country code)

Email

!ost ,ecently Attende

d 9niversity,-학.

9niversity Name학/0ocation (City< Country)

1재국%>23

Acieved or +=pected Deg

ree학4☐ acelor"s

☐ !aster"s!a?or5공

Degree 4esis 4itle,-학46문78

anguage A#ilities9학능.

4*'. evel ☐1☐2☐3☐☐- ☐/

+nglis roficiency

4est Scores:9공인성&

*ype #core

u#lised apers('f availa#le)


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A8ards

('f availa#le)

Coice of 9niversity>

!a?or;대학 9niversity대학 Division 계열 Department 학과0

※ Attention! +m#assy 4rac; applicants must coose 4@,++ universities and ma?ors

9niversity 4rac; applicants must coose *N+ university and ma?or

Coice B1

Coice B2

Coice B3

reviously

Acieved

Degree(s)학.

eriod?@ 9niversity> 'nstitution학/0 Country1재국 !a?or5공AB Degree학4

GA(*N$ for

terms or semesters

completed)

성& (이C

학?D)

Scool

$ear 1st year 2nd year 3rd year t year -t year

Cumulative G

AEFEGScore ercentileHIGC4erm>

Semester 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3

1ac2elor"s > > > > > > > > > > > > > > > > 166

!aster"s > > > > > > > > > > > > > > > > 166

+mployment or rofes

sional ,esearc +=perience

JK LM 연NO.

eriod 'nstitution> Company osition ,esponsi#ilities

revious isits to

.orea과P Q국 PRST

체U 사V

eriod urpose of Stay City or ,egion Affiliated *rgani7ation

reviously ,eceived

Scolarsip A8ardsfrom .orean

institutionsW학X CY

Sponsor;


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FORM +. 2etter o' el'3Introuction

Please type in +orean or in English. *he letter must be single spaced within OE page, with the font Times New Roman , si-e /.

(0/ points)

o $our course of life< your vie8 of life< study #ac;ground< your opes E 8ises< etco $our education and 8or; e=perience< etc< in relation to te .GS programo $our motivations for applying for tis programo ,eason for study in .orea


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FORM -. tatement o' Purpose Please type in +orean or in English. *he statement of purpose must be single spaced with no more than *1O pages, with the font

Times New Roman , si-e /. (0/ points)

Goal of study E

Study lan o $oal of study, title or sub2ect of research, and detailed study plan

%uture lan

after Study o 3uture plan in +orea or another country after study in +orea


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FORM . 2etter o' Recommenation*o the applicant: lease fill in your name and te oter reFuired information #elo8 'n turn< deliver or email tis form to te person

8o 8ill 8rite tis letter /O*4: ,eFuest your recommender to seal is or er letter of recommendation in an official envelope and

sign across te #ac; flap upon completion ,ecommendation letters tat are not sealed and signed 8ill not #e accepted

Con'iential

Name of Applicant: (Surname) (Given Name)

Nationality:

Desired Degree rogram: ☐ !aster"s ☐ Doctoral

Desired !a?or:

*o the recommener: 4e person named a#ove as applied for te H.orean Government Scolarsip rogram" Ie as; for your

assistance< and 8ould appreciate your fran; and candid appraisal of te applicant

0 Please type or print clearly using black ink.

1 @o8 long ave you ;no8n te applicant and in 8at relationsipJ

lease assess te applicants Fualities in te evaluation ta#le given #elo8 ,ate te applicant compared to oter classmates 8o

are>8ere in te same scool year 8it im>er

Classification

4ruly

+=ceptional+=cellent ery Good Good elo8 Average

N>A

4op 2K 4op 16K 4op 2-K !iddle -6K o8er 2-K

Academic Acievement

%uture Academic otential

'ntegrity

,esponsi#ility>'ndependence

Creativity>*riginality

Communication S;ills

'nterpersonal s;ills

eadersip


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1 Iat do you consider to #e te applicant"s strengtsJ

2 Iat do you consider to #e te applicant"s 8ea;nessesJ

3 @o8 8ell do you tin; te applicant as tougt out plans for graduate studyJ

lease comment on te applicant"s performance record< potential< or personal Fualities 8ic you #elieve 8ould #e elpful inconsidering te applicant"s application for te proposed degree program

,ecommender"s Name Date

,ecommender"s Signature

osition or 4itle:

9niversity ('nstitution):

Address:

(7ip&code: & )

4el: %a=:

Please return this 'orm seale in an o''icial envelope an signe across the #ack to the applicant. 0e greatl, appreciate ,our

timeliness regaring this letter 'or ,our recommenee.


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FORM 5. %&P Applicant Plege

Plege

As an applicant for te 261/ L.orean Government Scolarsip rogram (.GS) for

Graduate StudyM< ' pledge to a#ide #y te follo8ing rules:

(1)4o refrain from violation of university regulations and to fulfill my o#ligations as a

.GS scolar to te #est of my a#ility

(2) 4o #eave in a manner appropriate to .orean culture and society< and not to participate inany form of political activity (suc as organi7ing a political party< ?oining a political party<

attending political meetings< pu#lising political articles and declarations< organi7ing or

participating in demonstrations of a political nature< and so on)

(3) 4o accept responsi#ility for paying any de#ts incurred in .orea

() 4o agree 8it N''+Ds decision concerning te graduate program and te .orean

language course

(-) 4o a#ide #y all terms and regulations set #y N''+D

(/) 4o permit N''+D to use my personal information for te .GS

'f ' am proved to ave violated any of te a#ove or to ave made a false statement in my

application documents< ' sall accept any resolution or penalty made #y N''+D< even 8en it

may>migt result in suspension< revocation or 8itdra8al of my scolarsip

' 8as informed and fully understand tat .GS scolars are not permitted to transfer scools

for te entire duration of scolarsip after confirming teir ost institution including .orean

language institution

Date ($$$$> !!> DD):

Applicant"s Name : (signature)


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FORM 6. P4RO/A2 M4ICA2 A4M4/*

Attention! Applicants are not reFuired to undergo an autori7ed medical e=am #efore passing te 2 nd Selection 8it N''+D 4esuccessful candidates of te 2nd round of selection< o8ever< must get te compreensive medical e=aminations from a licensed pysician or a doctor (including an @' and 4+ drug test< etc) in accordance 8it te reFuirements of te .orea 'mmigrationService and te .GS 'f te results so8 tat te applicant is unfit to study and live overseas more tan 3 years< e>se may #edisFualified

4e 4+ (tetra#romopenolptalein etyl ester) drug tests are for evaluating past usage of stimulant drugs

Gender ☐ !ale ☐ %emale 74I&7* cm 04I&7* ;g

9+S4'*N $+S N* '% $+S< +AS+ +OA'N

@ave you ever ad an infectious disease tat posed a ris; to

pu#lic ealt (suc as< #ut not limited to< tu#erculosis< 7I8 another *s)J

Do you ave allergiesJ

Do you ave yper tensionJ

Do you ave dia#etesJ

Do you ave any type of @epatitisJ

@ave you ever suffered from or #een treated for depression<

an=iety< or any oter mental or mood disorderJ ('f you ave

received treatment< please e=plain and attac an official medical

report)

@ave you ever #een addicted to alcoolJ

@ave you ever a#used any narcotic< stimulant< allucinogen or

oter su#stance (8eter legal or proi#ited)J

@ave you #een ospitali7ed in te last t8o (2) yearsJ

@ave you ad any serious in?ury< ailment or sic;ness in te last

five (-) yearsJ

Do you ave any visual or earing impairmentsJ

Do you ave any pysical disa#ilitiesJ

Do you ave any cognitive>mental disa#ilitiesJ

Are you ta;ing any prescri#ed medicationJ

Are you on a special dietJ

2016Marzo14_ProgramaBecasGobiernoCoreano2016EstudiosPosgrado_ANEXO03

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