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Application for Admission to Graduate School (4×5 ㎝)
Please TYPE or PRINT clearly in Korean or English
Ⅰ.Personal Information
7. Passport No.: ____________________________________________________
1. Name : ____________________________________________________
8. Guardians
Last/Family First/Given Middle
Korea
2. Country of Birth : ____________________________________________
Name:________________________________________________________
3. Citizenship : ________________________________________________
Last/Family First/Given Middle
4. Sex: ( )Male ( )Female
Telephone : ___________________________________________________
5. Date of Birth):_______________/________________/_______________
Mobile Phone : ________________________________________________
Month Date Year
Relationship : _________________________________________________
6. Mailing Address :_____________________________________________
Your Country
_____________________________________________________________
Name:________________________________________________________
_____________________________________________________________
Last/Family First/Given Middle
Telephone : ___________________________________________________
Telephone : ___________________________________________________
Mobile Phone : ________________________________________________
Mobile Phone : ________________________________________________
E-mail Address : _______________________________________________
Relationship : _________________________________________________
Ⅱ. Educational Background : Since High School
Duration : Month/ Year Institution Major Degree or Diploma
_____________________ _____________________________________ ________________________ ______________________
_____________________ _____________________________________ ________________________ ______________________
_____________________ _____________________________________ ________________________ ______________________
Ⅲ. Study Plan Ⅵ. Indicate the person (including yourself) or organization that will be responsible for
1. Indicate the year and semester you wish to enter your tuition and living expenses.
Year_________ ( ) Spring ( ) Fall Name:________________________________________________________
Last/Family First/Given Middle
2.Course : ( ) MS, MA ( ) Doctorate
Relationship : _________________________________________________
3. Major Sought : _________________________________________
Occupation : __________________________________________________
Address : _____________________________________________________
_____________________________________________________________
Ⅳ. Payments
Telephone : ___________________________________________________
I have enclosed :
Mobile Phone : ________________________________________________
- Application Fee : US$___________________
* I guarantee that I will be responsible for the above – named applicant's tuition and
- Health Insurance Deposit : US$___________________
living expenses for the duration of the whole program.
* Refer to attachment requirement
Name:________________________________________________________
- Other : US$____________________ Last/Family First/Given Middle
Signature : ____________________________________________________
Total : US$____________________
Date : _____________/______________/______________
Month Date Year
Ⅴ. Do you need subsidy such as research allowance from supervisor? Absolutely ( ) Not necessary ( )
※Required documents for application 1. Application form 2. Photocopy of diploma 3. Official Transcripts: sealed 4. One letter of recommendation 5. Study plan
6. Personal statement 7. Three photos: 4x5cm 8. Application fee 9. Birth certificate 10. Bank statement or other financial certifications
Additional Requirements for the Studentship at ANU
Please type or print clearly in Korean or English
Ⅰ. Health Insurance
1. Do you have your own health insurance with international coverage?
( ) Yes ( ) No
2. If no, you must apply for health insurance in ANU and make deposit for the premium on ANU account immediately
the notification of acceptance or you should buy health insurance upon the arrival at ANU.
- The premium: $500.00 / a year
- Recipient : Andong National University / Shin Han Bank : 803-01-114897
SWIFT Code: SHBKKRSE
Ⅱ. Dormitory
1. For the scholarship students from Sisterhood Universities:
- Room is provided.
- Did you graduate from Sisterhood University? ( ) Yes. ( ) No.
* No support is available for off-campus housing
2. For non-scholarship students:
- Need Dormitory ( )
- Off- campus Housing ( )
3. For students who enter dormitory:
- Do you expect to have any problem because of religions when you have meals in Korea?
( ) Yes. ( ) No.
- If yes, do you want to have your meals out of dormitory?
( ) Yes. ( ) No.
* If you say “no” for the last question, you HAVE TO take meals according to the dormitory dining plan during
stay in dormitory. Any unused meals are not refundable.
Ⅲ Date and Signature (Required)
.
I certify that the information submitted in this application is true, complete, and accurate. I understand that submissions of
inaccurate information could be considered sufficient cause for terminating my application or admission of ANU.
Applicant’s Signature : ______________________________Date this application was completed________________________
(Do not type or Print)