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Form ExchangeStudeForm - ExchangeStudent - Application-Chonbuknt Application-Chonbuk

This document is an application for an exchange student program at Chonbuk National University in South Korea. It requests personal information such as name, nationality, date of birth, passport number, home university details, language proficiency, intended period of study, and emergency contact information. The applicant must provide their name in both Roman letters and Chinese characters, attach a recent photograph, and sign to confirm their application date. If accepted, the exchange period can be one semester or one full academic year.

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Nurul Arum Kusumaningtyas
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28 views

Form ExchangeStudeForm - ExchangeStudent - Application-Chonbuknt Application-Chonbuk

This document is an application for an exchange student program at Chonbuk National University in South Korea. It requests personal information such as name, nationality, date of birth, passport number, home university details, language proficiency, intended period of study, and emergency contact information. The applicant must provide their name in both Roman letters and Chinese characters, attach a recent photograph, and sign to confirm their application date. If accepted, the exchange period can be one semester or one full academic year.

Uploaded by

Nurul Arum Kusumaningtyas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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CHONBUK NATIONAL UNIVERSITY

Jeonju 54896, Republic of Korea


Phone: +82-63-270-4757
E-mail: [email protected]

Fax: +82-63-270-2099
Homepage: http://www.chonbuk.ac.kr

Application for Exchange Student


Please type data by computer in English.

. Personal Information
/ Name in
Roman Alphabet

Paste your photograph taken

family name

first name

(middle name)

within the past 5 months

(Passport Name)

(3.54.5)

/ Name in Chinese Character

family name

first name

(middle name)

/ Nationality
/ Date of Birth
Month

/ Gender

Male

Day

Year

Female

/ Passport No.
/ Home University
/ Major in Home Univ.
/ Academic Course

Graduate

Undergraduate

/ Grade
/ Entrance Date of your
Home University
/ Home Address
/ Phone Number

Month

Day

Year

/ E-mail Address
Please type data by computer in English.

. Language Proficiency

Language

Level ( )

Score and Name of Test

None Basic 1 Basic 2 Intermediate 1

Korean

Intermediate 2 Advanced 1 Advanced 2

None Basic 1 Basic 2 Intermediate 1

English

Intermediate 2 Advanced 1 Advanced 2

. Period of Exchange ( )

1 Semester

1 Year

(2 semesters)

. Person to be notified in case of an emergency

Name

Relationship

Age

Phone Number

Post Address

Applicants Signature :
Date of Application :

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