wm Beswele Aura (ex) 7eMA) <2 2022.2. 7> (108 J Paget) AMBHSUAA VISA APPLICATION FORM Aan ee » AIAISIe APSO! visio! uealeiol Weisbe INS Ae}0} RHIC > AgAiaiel SE Deol We Me BS Le aeow 7[Moto} Bech > MOAI SH 2] bol y UAE SIA] sBIUel > Tier a Aleeel 2, AMIS 7IMSIA7] wet ‘ton to FLT out this form The applicant ust fill cut this form completely and correctly » Tho applicant ust write in block letters either in English or Korean For mulliple-choice questions, the applicant rust check (4) all tnat seply It the applicant solscts “Other” , please provide aore infornation in the given space. PHOTO 1.1 fol 7/ANEI St 41GH/Full name in English (as shown in passport) als A GEE, [8 Fanity tare Given kanes 42 Mo Aen Ye ID ANY RWS 3 SS Sex a oil ame ealalel 1 olsreeale_1 Actes wan [TREAT bea Bre mrad ESAT ety (i ee me AS BERT Canty 6 Binh 17 SHES eto Tam 18 olsol Gaol SSS WCE ASS ABHEA OF Has the applicant ever used any other nanes to enter or dopart Korea? CHS > [ ] ot Yes [| + ‘Ol HEAL APMUEB IAF IF “Yes” , please provide details (29 Favily None 12 Given None d 1.9 34 FA OFF Is the applicant a citizen of nore than one comtry ? OZ NOL J of Yes lJ ‘ol! 2A) IAIUB Zia It Yoo’ . please write the countries ( ) 24 AZIZ B+ E171) Period of =: Stay(Long/Short-torm) 2.2 MA Status of Stay G08 O18 APIA Lera-torn Stay over 0 cays =) 908 O18} EI7/AI4F Short-term Stay less than 90 days [ viene | ARARI ARIZ NESE =$(2al, 341 018) zeae | Beam gees HeLa eine | e7islat AEE BAN want aaj» mld an atl < Fae Fat > 2idaex207amL AA BOG Iw) EE SARS Iw](12% | Paze2) 3.1 OFS Passport Type 212 Diptoratic [ et Regular [| » ih Atlus Uf ‘Other! 1 please provide details ( WE official {J Diet other (| 3.2 FABLE Passport No 3.8 BRT country of Passport 3.4 BAT Place of Issue 3.5 BaBIA bate of Issue 3.6 7121812 Bl Date OF Expiry 3.7 CHE OFM ZA] CHE does the applicant have any other valid passports? OZ NT | A vest | = "A MSA) HUES 1M IF “Yos' , please provide details a) OLR Passport Type ‘S1m# Diploratic [1 ¥g Oficial T 1 218i Regular {J let other (1 0) OLB Passport No. ©) GBP Coury of Passport a) PRINS Date of Bxiry 4.41 23 FA Hono Country Adaross of tho apol icant 42 Bl APRA Current Residential Address «et ERD] BE #49; CH QP 7M Please write the current adress it Gifferent‘ Tron abo 4.3 ROVE Cal Phone No. = SAE Teleshone No. 44 BAPE Email 4.5 SIRAL SEER] Emergency Contact Information a) Bl Full Name in Engtsh b) AE 3} County of Residence ©) HSHBS Tolophone No. ) 27] Relationship To the applicant 5.1 81M SIH Current Marital Status PAE Married |__ 21k divorced {_) olf Single | 5.2 WPA SAIS Penal Infomation of the plicant’ s Gase 7|ROR H7IS eFOIO) 7PM IT Wri ple move eas ol te a) Af Fanily Nate (in English) 1b) Given Nanes (in English) c) SWE! Date of Birth (yyy inna) 4) 38 National ity ©) ABA Residential Aaaress f) S1SEA1 Contact No 5.8 MA #3 Does tho applicant have children? aol | ag Yes LI Ala Nunber of children |__| 6.1 ABI Mat is the highest deuree or level of education the seplicant has completed 7 AAW SAL asters [Doctoral Deeree [| BB High Schoo! Diploma {—] + TIER 8 AL ALANA IML 11 other” 6.2 SFB Mane of Schoo! WB Bachelor’ s Degree || Jiet other (|) please provide details ( d (6.3 i AA) Location of School (clty/province/eauntey) Zoe Xaaieal AAAI g =) SE SWAG T=](38 / Faxes) 7.4 NGL current personal circumstances e471 Entrepreneur [] AbPIR Selt-Enployed [1] Be! Employed BRA Civil Servant | J 28 stusent [J SAIA Retired (| Al Unemployed | J let Other | > 7IEY A AL AMIS 7194 If ‘Other’, please provide detai Is ( ) 7.2. AP] SAPS Ewloynent Details 3) SAH ZIBB! Nane of Company! institute/Sduoot 1) AVST/SPS Posi ion/taurse ©) SAW 7LBTeIaL EE Address of Company inst ute/Sehoot @) SahIS Tolephore We 8.1 BREA Pupose of Vist to Korea ‘AB/S3 Tourism/Transit |] WALEAL/Weeting, Conference [ ] ‘2}@22 Medical Tourism [ PIAS Business Trip [ FEAF Study/Training |) SAAS Work [) BOURAYEAL se EAE Visiting Tastee nedoera 44 SEER ese rina) 13/35 dipoaiiOtcal |} diester} = ZIEV AS AL ALS ZIAL I Other’, please provide details ( } 8.2 MFFO137|Z! Intended Period of Stay. 8.3 202) Intended Date of Entry 8.4 AFOISA(SA HB) Address in Korea (including hotels) 8.5 BI Ul GEA Contact No. in Korea 86 HA Sue travelled to Korea in the last 5 years ? O42 No[ ] Yes [| > "AY Al AIAIUS 71H IF Yes’, please provide detals of any visits to Korea (_) st times, esa "S712! Poviod of Stay #ES4 Pupose of Visit REZ Sotad ot Stay 87 GI S10 27} SHAE OFBFE! 37} Has tho applicant Waveled outside fisher courry of residence, excluding to Korea, n the last 5 yeas? OMS No | all Yes] — ‘OWA Al AMIE 71K Ht Yes’, please provide cetalls of these trios 37481 Name of County {in English) BES Purpose ol Vist EE7IRt Fariod of Stay (opps yyy) 21d x 2870m| WALA 9/0") EE BAL(GOG/—})(mies / Pages) 8.8. Sul Af IFS HF Does the applicant have any family members) staying in Korea? OHS No {J of Yas {| > ‘ofl Al AIMIUIS 714 Yes’ lease provi detals ofthe tary members) ‘8 Full name in English BERS TS! | Naty Bat Passe 1 +8 258 Ba weR, RY So, aM Hate Scope oF taily neers = Sone, Gh laren, parents, siblings of she anplicant 89. SeILS 71% FF Is tho eplicant traveling to Korea with ary family members) 7 OS NOL | of Yos [| + ‘AACE A! HAIL IAL IF Yos', ploase provide details of the family member(s) the applicant is taveling with #221 Full name in English ‘HR Date of Birth Nateeblty Bf Palatina to er err ec ie Sono Th teers “Spt, hen ens sibs of th tian 9.1 £821/EAS1Ah Is trove anyone inviting tho applicant for tho visa? O14 No [) Of Yes |) > ‘A MS Al AMIS 21M I! "Yes" , please provide details a) BAG/AMHAT Nave of inviting personlorganicalion (Korean, foreign resident in Korea, conpary, or insti ute) b) SUWS/AGAE SUE date of Birth/Business Registration No ©) BA Relationship to the apolicant a) FE Ades @) SHIGE Prono No 10.1 BHAI BIA 71) Estimated travel onstelin WS collars) 10.2 BETAIBAF fo will ay for the applicant” ¢ travel-related expenses? iy rlaan san rola Fe qolant wl grit) a) SR/BIA(SINDE Nene of Person/Organization (Company) b) AN Relationship to the applicant ©) AISAR Type of Support a) GER Contact Wo. 11.1 Ol AMMS AISHECE CHE AIRES] EHS wRUM? dio tre applicant receive assistarce in completing this form? Fig Ne] a Yos {| —+ "A" AOL Al AIAILISE IML 11 ‘Yes’ , ploaso provide details of tho porson no assisted the agp cant Bawa Dae of Bm aA ‘99 Ful Name lone 81M Teleshore No. | ratsonsio to be aclnt Fite x Daron MTR Fee) SE SAAB G TTxis / Pages)} 1. JIMA} azislo) AIH USE wale Ale ae ALR Ste Mee + UeUcl If extra spaco is noodod to complote any item, record on 2 separate sheet of paper or submit rolovant ocurents which could support the apal ication 2, Wale ASS GIVE F EA SE Me So AGS Oe AE UELE BPS, Ue NES vie UF UES MAS SE AEAeL7| ao] BSsH0} PIC If you received Korean visa approval, and have nen passport issued thereafter in View of lest/danaged passeort, you aust notify tne concerned visa eff ice of changes in your passport information 3. ABS HrauSICiels Gels S13 A) SIH Alg7} eee APOE isiel oma! G30] episial SB + GUet Possession of @ visa does not entitle the bearer to enter the Republic of Korea unon arrival at the port of entry if he/she is found inadnissiole. 4, "BUS ADRS, MOAB! Ge} oA BARNS WS Fol MBAS eae > SUC Please note tal cateoory C visa holders are not able lo change their status of stay aller their entry into the Ropublic of Korea in accordance with Article 8{1} of tho Enforearont Regulations of tho Immigration ket 5, SAIN 71a FE SIE Mao] HISIE APOE AISHS-alBOLIF Adsl, SALIH. BBA) cielo) a auch. Providing false information or docurents leads to revocation of a visa ard permission to stay, and nay result in crininal punishments ard an entry ban to the Republic of Korea. GABAA WRt Me MF Ae LPO! cl2al Se VE, ASAAVE AlelsHAiL} AAO] Bal YS MeUiCL Failure to subpit all required docunonts ray cause delay or denial of @ visa TASHA A AAS “CIsICIR BIALRE(wm.visa.oo.kr)” oA Alelo} slo}, ABWEARSAIE BAZ SUT SH APOE AG SAS GeAlol Aaalo} ch + Aiel Wel = vial) 27lsiel BS maya’ - “Seelgy zal a! Set ia ey = al Visa applicants ust check online on the Korea Visa Portal websites (www.visa.go.kr) for visa application results. To receive the disapproval notice in written form, visa applicants aust visit tho iplonatic office and apply In person, + How to check results: click Check Application Status! located on she left side of the Visa Portal main > Bk lo[ a8 |>[ 8h lo, Ga a haa wae 4a wage She i opie otha Pom xml AO aie) HE SAA ae)