KEIMYUNG UNIVERSITY
Application for Admission
Photo
(3x4cm)
Please TYPE or PRINT clearly in Korean or English
Section 1: Biographical Information
1. Name:
(Last/Family)
(First/Given/Personal)
2. Country of Birth:
(Middle)
3. Citizenship:
4. Sex : □ Male
□ Female
5. Date of Birth:
(month)
(date)
(year)
6. Mailing Address:
E-mail Address:
Tel:
7. Passport No.:
8. Points of Contact at home and abroad:
Home Country- Name:
In Korea- Name:
Tel.:
Tel.:
Relationship:
Relationship:
Section 2 : Academic Information
Name of Institution
Major
Dates (From-To)
Degree or Diploma
Section 3 : Study Plan
1. Indicate the year and semester you wish to enter
Year
□ Spring
□ Fall
2. How long are you planning to study?
3. Course of study :
4. Field to Study :
□ One academic semester
□ One academic year
□ Others
□ Bachelor’s Degree
□ Master’s Degree
□ Doctorate Degree
□ Non-Degree
□ Others (Specify)
years
Section 4 : Financial Information
Indicate the person (including yourself) or organization that will be responsible for your tuition fee and living expenses.
Name :
Relationship :
Occupation :
Phone No. :
Sponsor’s Statement : “I guarantee that I will be responsible for the above-named applicant′ s tuition fee and living
expenses for the duration of the entire program.”
Name and Signature of Sponsor :
Date :
Section 5 : Request for Accommodation
To reserve accommodation at the university dormitory, you must complete this Section 5.
Period :
□ Spring Semester
□ Fall Semester
Type of Dormitory:
□ KELI House (An English-only Residence Hall)
□ General Hall (No language restriction)
□ International Learning & Residential Hall (No language restriction)
Meal Plan: □ I prefer to have meals at the dorm cafeteria. □ I prefer to buy food on my own.
 Dormitory expenses must be paid upon arrival.
 Linens are not provided, but the office of International Affairs can prepare them for you on a request basis. You are expected to
pay for the items upon your arrival.
□Linen : ￦45,000; USD 45, includes blanket, bed sheet, and pillow
Section 6 : Korean Language Proficiency
Speaking
□Very Well
□Well
□A little
□None
Writing
□Very Well
□Well
□A little
□None
Reading
□Very Well
□Well
□A little
□None
Section 7 : Declaration
I certify that information contained in this application is complete, accurate and true; and agree to abide by the policies and
regulations of Keimyung University.
Signature of Applicant :
Your application is complete for assessment when we have:
Date :
Mail to: Office of International Affairs
(1) a completed application
Keimyung University
(2) a letter of recommendation
1095 Dalgubeoldaero, Dalseo-Gu
(3) an official Transcript
Daegu 704-701
(4) a photocopy of passport
Tel:+82-53-580-6022~9
Fax: +82-53-580-6025