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    APPLICATION FOR CONFIRMATION OF VISA ISSUANCE REC/F/175

    1. Passport issued date: - ……………………………………………………………


    2. Email : - ……………………………………………………………
    Education

    1. Name of School / University : - ………………………………………………………………..


    2. Level of School (High / Middle / Junior) :- ………………………………………………………..
    3. Location of School / University (City/Province/Country) :- ……………………………………

    Marital status and family details - Current marital status;

    Married ( ) Divorced ( ) Single ( )

    Your spouse:

    1. Family name (in English) :-...……………………………………………………………..


    2. Given names (in English) :- ………………………………………………………………
    3. Date of birth : - ………………………………………………………………
    4. Nationality : - ………………………………………………………………
    5. Residential address : - ………………………………………………………………
    …………………………………………………………………
    6. Contact no : - ………………………………………………………………

    Do you have children? No ( ) yes ( ) * No of children ( )

    Emergency Contract Information :- (Don’t use spouse details / telephone)

    1. Full Name in English : - …………………………………………………………...............


    2. Country of Residence : - ……………………………………………………………………
    3. Telephone No : - ……………………………………………………………………
    4. Relationship to you : - …………………………………………………………………….
    Personal Details

    1. Have you ever used any other names to enter or depart Korea? No ( ) Yes ( )

    Family name: - …………………………………………………………


    Given name: - …………………………………………………………..

    2. Is the invitee a citizen of more than one country? No ( ) yes ( )

    Passport Information

    1. Does the invitee have any other valid passport? No ( ) yes ( )

    Details of visit

    1. Has the invitee visited Korea in the last 5 years? No ( ) yes ( )

    “Yes” Please provide details of any trips to Korea( ) times

    Purpose of recent visit:-…………………….

    2. Has the invitee visited outside his/her country of residence, excluding to Korea, in the last
    5 years? No ( ) yes ( )

    Name of country Purpose of visit Period of stay


    -
    -

    Signature……………………………… Date………………………….

    DOC NO: REC/F/175 ISSUE NO: 01 REVISION NO: 01 DATE OF ISSUE: 04.09.2019 DATE OF RIVISION: 28.10.2022 PAGE 01 OF 01

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