Fillable Application For Visa printable pdf download

[별지 제17호서식]

(앞 쪽)

사증발급신청서

APPLICATION FOR VISA

※ 사증발급인정번호

(CONFIRMATION OF VISA ISSUANCE No :

)

1.성

3.漢字姓名

4.성별

Surname

Gender

[ ]M [ ]F

2.명

Given Names

5.생년월일

Date of Birth

사 진

6.국적

7.출생국가

Nationality

Country of Birth

PHOTO

8.현주소

Home Address

3.5㎝ 4.5㎝

9.전화번호

10.휴대전화 Mobile Phone No.

Phone No.

11.이메일

12.신분증번호

No.

E-mail

National Identity

13.여권번호

14.여권종류 Classification

外交, 公務, 公務普通, 因私, 其他

Passport No.

DP(外交), OF(官用), OR(一般), OTHERS(其他)

여권

15.발급지

16.발급일자 Date of Issue

17.기간만료일

Place of Issue

Date Of Expiry

18.직업

19.직장전화번호

Occupation

Business Phone No.

직업

20.직장명 및 주소

Name and Address of Present Employer

21.[ ]기혼 married

[ ]배우자사망 widowed

[ ]미혼 Single

[ ]이혼 divorced

결혼여부

22.배우자 성명

23.배우자 생년월일

Spouse's Name

Spouse's Date of Birth

Marital status

24.배우자 국적

25.배우자 연락처

Phone No.

Spouse's Nationality

Spouse's

27.체류예정기간

Potential Length of Stay

26.입국 목적

Purpose of Entry

28.입국예정일

29.방한사실

Potential Date of Entry

Previous Visit

(If Any)

30.국내체류지

31.국내전화번호

Address in Korea

Phone No. in Korea

32.국내 체류비용 지불자

Who Will Pay For The Expense For Your Stay?

33.과거 5년간 여행국가

Countries You Have Travelled During The Past 5 Years

※ Please note that C-series visa holders are not able to change their residential status after entry into Republic

of Korea pursuant to the first clause of article 9 of Immigration Regulation

관계

국적

성명

생년월일

성별

Relationship

Nationality

Name

Date of birth

Gender

34.동반가족

Accompanying

Family

35.국내 보증인

관계

국적

성명

생년월일

성별

Relationship

Nationality

Name

Date of birth

Gender

Guarantor or

Reference in

Korea

I declare that the statements made in this application are true and correct to the best of my knowledge and belief, that I will

observe the provisions of the Immigration Law of the Republic of Korea and that I will not engage in any activities irrelevant to

the purpose of entry stated herein. Besides, I am fully aware that any false or misleading statement may result in the refusal of

a visa, and that possession of a visa does not entitle the bearer to enter the Republic of Korea upon arrival at the port of entry

if he/she is found inadmissible.

신청일자 DATE OF APPLICATION

신청인

서명 SIGNATURE OF APPLICANT

공용란

FOR OFFICIAL USE ONLY

기본사항

체류자격

체류기간

사증종류

단수ㆍ복수(2회, 3회 이상)

접수사항

접수일자

접수번호

처리과

허가사항

허가일자

허가번호

고지사항

담당자

가 ㆍ 부

〈심사의견〉

결 재

수입인지 부착란

210mm 297mm(인쇄용지(2급) 60g/㎡)

Application For Visa

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