(최신) 2022 Application form of INHA Korean Language Program

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(22212) INHA UNIVERSITY Global Education Team, 5F Inha Dream Center,

100 Inha-ro, Michuhol-Gu, Incheon, Korea


(Photo)
Tel : 82-32-860-8274/82-32-860-8275/82-32-860-8302
Fax : 82-32-863-2930
E-mail : [email protected]
Homepage : http://LTC.inha.ac.kr

Name Date of Birth YYYY / MM / DD


Gender Male / Female
(Korean) Nationality

Name Visa Type


(English) (if any) Expiration Date YYYY / MM / DD
Personal
Information Passport No. Passport Expiration Date YYYY / MM / DD
Email Contact Number
Address (Korea)
Address (Home Country)
Emergency Contact Name Tel Relationship

Desired Course Regular Course 2022 □ Spring □ Summer □ Fall □ Winter


Level Test
□ Yes □ No Study Duration □ 6 Months □ 1 year
(For level assignment)
□ Yes □ No
Dormitory
* First come first served based on payment(Non-refundable reservation)
Period Name of the school Major Remark
Academic YYYY / MM / DD ~ YYYY / MM / DD
History
YYYY / MM / DD ~ YYYY / MM / DD

Period Name of Workplace Tel Position


Work YYYY / MM / DD ~ YYYY / MM / DD
Experience
YYYY / MM / DD ~ YYYY / MM / DD

Name Tel
Address
Sponsor
Address
Workplace
Name Position Tel
Date of
Name Relation Gender Address / Name of Workplace
Birth
YYYY / MM / DD
Family
YYYY / MM / DD
Information
YYYY / MM / DD

YYYY / MM / DD

Have you ever studied Korean? □ No □ Yes Name of Period


Korean Language Proficiency TOPIK Level institution of study

I hereby certify that all the information in my application is correct.


If any information is incorrect,
I understand that my admission will be cancelled and that I will bear all the legal responsibility for the wrong information.
Moreover, I recognize that Inha University bears no liability for the admission cancellation.

Date : YYYY / MM / DD Name : (Signature)

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