APPLICATION FOR VISA

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ʹΠΟΗΚΣΞΒΥΚΠΟ͑ͿΦΞΓΖΣͫ͑
1. Surname 2. Given Name

3. Date of Birth 4. Sex 5. Nationality 6. Place of Birth

Y M D ƑM ƑF
PHOTO
7. Passport Number 8. Classification 9. Date of Issue 10. Place of Issue 11.Issuing Authority 12. Expiry Date
35 x 45 mm DP OF OR

13. Marital Status 14 Spouse’s Name 15. Spouse’s Nationality

Ƒ married Ƒ single

16. Present Occupation 17. Name and Address of Present Employer 18. Business Phone Number

19. Purpose of Entry(explain fully) 20. Probable Date of Entry 21. Desired length of Stay

22. Home Address (Canada) Phone No. E-Mail

23. Address in Korea Phone No. 24. Previous Visit (If Any)

25. Have you ever been issued a Korean visa?

When? Where? What type of visa

26. Have you ever been refused a Korean visa?

When? Where? What type of visa

27. Who will pay for your trip? 28. Has your Korean visa ever been cancelled or revoked?

Ƒ Yes Ƒ No

29. Countries where you have ever lived or traveled during the past 5 years

30. Nationality Name Sex Date of Birth

Accompanying Family

31. Guarantor or Reference Name Address Phone No. Relationship

in Korea (Family/ Friend,

Employer, ETC)

I declare that the statements made in this application are true and correct to the best of my knowledge and belief, that I will observe the provisions of the Immigration Law of the
Republic of Korea and that I will not engage in any activities irrelevant to the purpose of entry stated herein. Besides, I am fully aware that any false or misleading statement may result in
the refusal of a visa, and that possession of a visa does not entitle the bearer to enter the Republic of Korea upon arrival at the port of entry he/she is found inadmissible.

DATE OF APPLICATION SIGNATURE OF APPLICANT

FOR OFFICIAL USE ONLY

洗朞憎笾 洗朞沂柢 冶

枿汾憎笾 沲
熞庲刂
斲溣涋幞
熺幞沖冯 基埿沖

熺幞匶儊
処滆斲穳