Citizenship and other personal data: Date of birth: (Year/month/day) _ Country of birth: Country of citizenship: Passport number: Dual citizenship country of other citizenship: □ – Birthplace of biological mother: Birthplace of biological father: (If your biological mother or father is Korean, please attach proof of citizenship) What is the primary language spoken in your home? Have you ever been convicted of a criminal offense? No Yes. If yes, please attach an explanation on the ☐ ☐ nature of the offense. Do you have any medical condition(s) that will affect your ability to complete courses? No Yes. Please specify: ☐ If yes, please attach information about the nature of the condition. Do you have any special dietary requirements for religious or health reasons? No Yes. If yes, please state your food requirement(s). ☐ ☐ Emergency contact details (The person to contact in case of an emergency) (PROF., DR., MRS., MR., MS.) Surname / Family name Given Names Relationship: Phone number: / Mobile Number: / (Include country code) (Include country code) E-mail Address: Alternate e-mail address:
Citizenship and other personal data: Date of birth: (Year/month/day) _ Country of birth: Country of citizenship: Passport number: □ Dual citizenship – country of other citizenship: Birthplace of biological mother: Birthplace of biological father: (If your biological mother or father is Korean, please attach proof of citizenship) What is the primary language spoken in your home? Have you ever been convicted of a criminal offense? ☐ No ☐ Yes. If yes, please attach an explanation on the nature of the offense. Do you have any medical condition(s) that will affect your ability to complete courses? No ☐ Yes. Please specify: If yes, please attach information about the nature of the condition. Do you have any special dietary requirements for religious or health reasons? ☐ No ☐ Yes. If yes, please state your food requirement(s). Emergency contact details (The person to contact in case of an emergency) (PROF., DR., MRS., MR., MS.) Surname / Family name Given Names Relationship: Phone number: / Mobile Number: / (Include country code) (Include country code) E-mail Address: Alternate e-mail address: