Scribd
Upload
47 views

G Power Manual

Dila Widya Sambhara, an Indonesian citizen, has applied for Korea's Fall 2020 Korean language program. She completed her Bachelor's degree in Psychology from Airlangga University in 2013. She has no prior knowledge of Korean and is single. Her reference and mailing address are also provided in the application. Geumgang Kim, a Japanese citizen, has also applied for the Spring 2010 Korean language program. He obtained a Bachelor's degree in English Interpretation from Geumgang University in 2008. He currently works as a Manager at ABC Company in Japan. His Korean language skills are listed as good in speaking but poor in writing. He has visited Korea twice before for a World Cup game and language study

Uploaded by

RaraDamastya
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
47 views

G Power Manual

Dila Widya Sambhara, an Indonesian citizen, has applied for Korea's Fall 2020 Korean language program. She completed her Bachelor's degree in Psychology from Airlangga University in 2013. She has no prior knowledge of Korean and is single. Her reference and mailing address are also provided in the application. Geumgang Kim, a Japanese citizen, has also applied for the Spring 2010 Korean language program. He obtained a Bachelor's degree in English Interpretation from Geumgang University in 2008. He currently works as a Manager at ABC Company in Japan. His Korean language skills are listed as good in speaking but poor in writing. He has visited Korea twice before for a World Cup game and language study

Uploaded by

RaraDamastya
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
You are on page 1/ 2

Application for Korean Language Program(Form-1)

1. Name : Dila Widya Sambhara

2. Nationality : Indonesia
Photo
3. Place of Birth : Palembang, Indonesia 4. Date of Birth : 1993.03.03
40mm x 30mm
5. Sex : M F 6. Marital Status : Single Married

7. TEL : (+62) 31 561 7637 8. Mobile : (+62) 81 3304 34403

9. E-mail : [email protected]

10. Mailing Address : Jalan Gajah Mada IIa / 27a Surabaya 60242 Indonesia

11. Passport (1) No. : (2) Date of expiration :

12. Education

(1) Name of school : Airlangga University (2) Period : 2009 ~ 2013

(3) Major : Psychology (4) Degree : Bachelor

13.Occupation

(1) Name of Company : -

(2) Department : - (3) Position : -

(4) TEL : ( - ) (5) Website : -

14. Language

(1) Native Language : Indonesia (2) Foreign Language : English

15. Knowledge of Korean (Good, Fair, Poor, None)

Speaking ( P ) Listening ( P ) Reading ( N ) Writing ( N )

16. Terms for studying(English speakers are able to apply for one semester)

( ) Spring 20 : March ~ June , 20 (16 weeks)

( x ) Fall 20 : September ~ December , 20 (16 weeks)

17. History of visiting Korea

Date of Entrance Date of Departure Type of Residence Purpose


(1)

(2)

(3)

(4)

18. Reference

(1) Name : (2) Address :

(3) TEL : ( ) (4) Occupation :

I hereby certify that the above information is true.

Date : Applicant : (Signature)

1. Name : Geumgang Kim


Photo
2. Nationality : Japanese
40mm x 30mm
3. Place of Birth : Chiba, Japan 4. Date of Birth : 1980.12.31
(Please attach your

5. Sex : M F 6. Marital Status : Single Married


photo here)
7. TEL : (+81) 41 731 3114 8. Mobile : (+81) 10 1234 5678

9. E-mail : [email protected]
10. Mailing Address : 1-4-1, Wakaba, Mihama-ku, Chiba-shi, Chiba-ken, 261-0014, Japan

11. Passport (1) No. : DS3203213 (2) Date of expiration : 2014.01.16

12. Education

(1) Name of school : Geumgang University (2) Period : 2004 ~ 2008

(3) Major : Interpretation(English) (4) Degree : Bachelor

13.Occupation

(1) Name of Company : ABC Company

(2) Department : Sales (3) Position : Manager

(4) TEL : (+81) 02-123-4567 (5) Website : www.abc.co.jp

14. Language

(1) Native Language : Japanese (2) Foreign Language : English, Korean

15. Knowledge of Korean (Good, Fair, Poor, None)

Speaking ( G ) Listening ( F ) Reading ( F ) Writing ( P )

16. Terms for studying(English speakers are able to apply for one semester)

( O ) Spring 2010 : March ~ June , 2010 (16 weeks)

( ) Fall 20 : September ~ December , 20 (16 weeks)

17. History of visiting Korea

Date of Entrance Date of Departure Type of Residence Purpose

(1) 2002.06.24 2002.07.31 B2(Tourist) Watching 2002 Worldcup game.

Studying Korean language at Korea


(2) 2004.01.13 2004.06.30 D4(Studying)
University.

(3)

(4)

18. Reference

(1) Name : Joey Kim (2) Address : Mihama-ku, Chiba-shi, Chiba-ken, 261-0014, Japan

(3) TEL : (+81) 41-731-3583 (4) Occupation : Korean language Professor

I hereby certify that the above information is true.( Please write your signature on the top of ※)

Date : 2010.05.06 Applicant : Geumgang Kim (※Signature)

SAMPLE

You might also like