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TKHAI XIN VISA (APPLICATION FOR VISA) (CONFIRMATION OF VISA
ISSUANCE No : )
nh / PHOTO3.54.5
1.H/Surname 3. 4.Giitnh/Gender
Nam/M N/F
nh / PHOTO3.54.5
2.Tn/Given Names 5.Ngy thng nam sinh/D.O.B
nh / PHOTO
3.54.5
6.Qu c tch/Nationality 7.Sinh ti nuc no?/Country of Birth
nh / PHOTO3.54.5
8.a ch nh/Home Address
nh / PHOTO3.54.5
9.in thoi nh/Phone No. 10.TD/CELL
nh / PHOTO3.54.5
11.E-mail 12. S CMND/National Identity Number
HChiu/Passport
13.S hchi u /Passport No.
14.Loi hchi u/Classification NG CV PT.Loi khc
DP(), OF(), OR(),OTHERS()
HChiu/Passport
15.Noi c p/Place of Issue
16.Ngy c p/Date of Issue
17.Ngy h t hn/Date of Expiry
Nghnghip/Occupation
18.Ngh nghip/Occupation
19.Tco quan/Business Phone No.
Nghnghip/Occupation
20.Tn v da ch cng ty/Name and Address of Present Employer
Tnh trnghn nhn/Martial
status
21. k t hn /married Goch ng(v)/ widowed Chua k t hn/ Single ly
hn/divorced
Tnh trnghn nhn/Martialstatus
22.Tn ch ng(v)/Spouse's Name
23.Ngy thng nam sinhc a ch ng(v) /Spouse's Date of Birth
Tnh trnghn nhn/Martialstatus
24.Qu c tch c a ch ng(v) /Spouse's Nationality
25.T c a ch ng(v) /Spouse's TEL
26.Mc dch nhp c nh/Purpose of Entry
27.Thi gian ddnh luu tr/Potential Length of Stay
28.Ngy ddnh nhp c nh/Probable Date of Entry
29.S l n nhp c nh HQ (n u c) /Previous Visit (If Any)
30.a ch ti Hn Qu c /Address in Korea
31.in thoi ti Hn Qu c/Phone No.in Korea
32.Ngui tr chi ph cho chuy n di /Who Will Pay For The Expense
For Your Stay?
33.Cc qu c gia d nhp c nh trong vng 5 nam qua /Countries You
Have Travelled During The Past 5 Years
Please note that C-series visa holders are not able to change
their residential status after entry into Republic of 29.Korea
pursuant to the first clause of article 9 of Immigration
Regulation34.Nguo dicng/AccompanyingFamily
Quanh/Relationship
Qu c tch/Nationality Hv Tn/NameNgy thng namsinh/D.O.B
GiiTnh/Sex
34.Nguo dicng
/AccompanyingFamily34.Nguo dicng/AccompanyingFamily35.Ngui b o
lnh ti HnQu c /Guarantor orReference in
Quanh/Relationship
Qu c tch/Nationality Hv Tn/NameNgy thng namsinh/D.O.B
GiiTnh/Sex
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Write down the number of the Confirmation of Visa Issuance, if
applicable.1~2. Write down the name as printed in your passport.
Surname is last name and given name is firstname.3. If you have the
Chinese character name, write down in Chinese character. Only for
people from countries that use chinese character.
4. To mark your gender, check a bracket below.5. Write down the
date of birth in the order of date, month, and year.6. Write down
your nationality.7. Write down the name of the country you were
born in.
8.~11. Write down your address, phone number, email, and mobile
phone number in your home country.13.~17. Write down the type of
your passport (see your passport) and draw a circle around
theappropriate one. DP(Diplomatic Passport), OF(Official Passport),
OR(Ordinary Passport)
18.~20. Write down your occupation and the nameaddressphone
number of your company.21.~25. Write down personal data of your
spouse, if you are married.29. Write down how many times you have
visited Korea.30.~31. Write down the address and phone number of a
place you are going to stay after arriving inKorea. If they are
undecided, write down "undecided."32. Write down who will bear the
cost of your stay in Korea. (name, relation)34. If you are a spouse
or a child under the age of 20 of a person who holds the visa
status of Cultureand Art(D-1), Student(D-2), General Training(D-4)
through Particular Occupation(E-7), fill these blanks.
35. Write down the name of person who sponsors your visa. A
sponsor may be a non-korean.
