Application for Dormitory (Form-2)

1. Name : (English) Photo

40mm x 30mm
(Korean)

2. Nationality :

3. Place of Birth : 4. Date of Birth :

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

7. TEL : ( ) 8. Mobile : ( )

9. E-mail :

10. Mailing Address :

11. Belong to : Geumgang Language Center

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

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

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

13. Special Request

I, as a student of Geumgang University, pledge that I will abide by the rules of the dormitory.

If I fail to comply with the rules, I agree to accept the appropriate punishment defined by the schools regulations

and Korean law.

Date : Applicant : (Signature)