Vous êtes sur la page 1sur 6

Kyungsung University

Mail application to:


International Programs Office(#201),Nuri Nldg 309, Suyeong-ro(Daeyeon dong)
Namgu, Busan, 608-739, Republic of Korea
Tel: +82-51-663-4061 / Fax: +82-51-663-4069 / ks.ac.kr

Kyungsung University
Exchange Student
Application Form

Application Deadline for Spring Semester is May 22


Application Deadline for Fall Semester is Nov 22

To Applicants : Please read carefully and type or print in black clearly

Personal Details

Family Name: Valiev Given Name: Manuchekhr

in Korean : Manoo (Please fill out your korean Alphabet name for registration)
in Chinese (if any): (Chinese and Japanese students should fill out this item)
Gender: Male Female Citizenship: Tajikistan
Date of Birth: Year:1994 Month:January Day:06

Home Address: Dehoti 44/1 apt.12., Dushanbe, Tajikistan

E-mail Address: 1)manoo.valiev@gmail.com Tel: +77471587866


E-mail Address: 2) Mobile:
Home Institution
Exchange University (Home University): KIMEP University
Please provide contact details for your exchange advisor/coordinator at your home university:
Name: Zhamilya E-mail Studyabroad@kimep.kz Tel: +77471587866

Please provide contact details for your academic information at your home university:

Department and/or Major Master in Economics

Grade: Freshmen: Sophomore: Junior: Senior: GPA : 3.5 / 4.5


Application details
When do you wish to begin attendance?
6-month applicants Spring semester: March 1 ~ August 31:
6-month applicants Fall semester: September 1 ~ February 28:
1-year applicants Spring and Fall semester: March 1 ~ February28, next year:
1-year applicants Fall and Spring semester: September 1 ~ August 31, next year:
Which Department or major are you applying to?
Please put a tick against the box which you apply for ( ONLY ONE)
Exchange Students can take not only major courses but also Korean language courses, elective
courses lectured in English.
Korean Language & Literature Urban Engineering
Japanese Language & Literature Electronic Engineering
Humanities in Classics Electrical Engineering
History Mechatronics Engineering
Cultural Planning Industrial & Management Engineering
Cultural Contents Food Science and Biotechnology
Cultural Service Food Nutrition
English Language & Literature Computer Science & Engineering
Information and Communication
China Studies Engineering
Library and Information Science Advanced Materials Engineering
Education Architecture
Early Childhood Education Physical Education
Ethics Education Sports Medicine
Law Music
Public Administration Visual Communication Design
Political Science and International
Relations Interior Design
Social Welfare Industrial Design
Mass Communication Theatre
Advertising & PR(Public Relations) Film
Economics & Finance Moving Image
Logistics Animation
Business Administration Digital Media
International Trade & Commerce Fine Arts
Accounting Craft Design
Hotel & Tourism Management Dance
Food Service Management Theology
Mathematics
Informational Statistics
Energy Science
Chemistry )

Biology
Fashion Design & Merchandising
Physical Therapy
Environmental Engineering
Civil Engineering Please make sure that you choose
only one major
Language Skills
Korean
None: Beginner: Intermediate: High intermediate
Please describe your Korean proficiency level by TOPIK score or learning period and/or places etc.

English

None: Beginner: Intermediate: High intermediate


Please inform us of your TOEFL or IELTs score if you have.
Type of Test taken: My overall IELTS score 6
Score or Level acquired:
Declaration

I consent to the host institution recording and processing the information about me give on this form.

I understand that this information will only be used for administrative purposes and will form the
basis of my student record if I am accepted.
I declare that all the information provided herein is correct to the best of my knowledge.

Name : Manuchekhr Valiev

Signature : M.V Date : November 21, 2016

Application Deadline for Spring Semester is November 22 and Fall Semster is May 22.
Passport Attaching Form
Accommodation Application Form

Classification Exchange Student

English Manuchekhr Valiev


Name Chinese(if available)
Korean

Gender Male Female

Home University KIMEP University

Random
Desired Room-mate
Appointment (Name : )
(Same university, Same gender only)
Country of Birth Tajikistan Nationality Kazakhstan

Date of Issue 23.05.2012


Passport Number M253579
Date of Expire 23.05.2022

Home Address Dehoti 44/1 apt.12, Dushanbe, Tajikistan

Telephone Number +77471587866 E-mail address Manoo.valiev@gmail.com

Emergency Contact

Classification Name Relations Tel. E-mail Address

In Korea
(if any)

Home Country Rustam Vahobov Uncle +992985234343 Rustamjon1979@mail.ru

I hereby apply for admission to Kyungsung University. I declare that the information I have provided in
this application is true and accurate.

20 (Year)-16 (Month)-11 (Day)-21

Name : Manuchekhr Valiev Signature: M.V

Vous aimerez peut-être aussi