visa_form

[별지제17호서식]
(앞쪽)
签证发给申请表 APPLICATION FOR VISA
※返签证号码(CONFIRMATION OF VISA ISSUANCE No : )
33.最近5年间旅行(访问)过的国家 Countries You Have Travelled During The Past 5 Years
observe the provisions of the Immigration Law of the Republic of K orea 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 if he/she is found inadmissible.
申请日 DATE OF APPLICATION 申请人署名SIGNATURE OF APPLICANT
○请用中文填写表格，然后署名。

○请附上一张6个月以内的2寸免冠照片。

（背景颜色无要求）
○申请签证后，如有需要，须提交要求补充的材料。

○签证经审查后，将有可能被拒签。

○提交签证申请或签证已签发后如有资料改变，申请人应及时通知韩国总领事馆。

○如在签证签发以后重新申请新护照，请在出境之前将签证转移到新护照上。

○如有在国外违反移民法的经历，请在申请签证时附上详细的情况说明。

○如签证被拒签，签证费用不予退还。

如何填写申请表
※返签证号码是韩国法务部签证发给认定号码（返签号），如果有，请填写“签证发给认证书号码�（韩国出入境管理事务所发给）。

1~2.请按护照上的名字分别填写英文的姓（surname）和名（given name）。

3.如果申请人有汉字姓名，请填写汉字姓名。

※只针对使用汉字国家的申请人。

4.请在下面的括号内标注性别。

(M为男，F为女)
5~7.请分别填写申请人的出生年月日，国籍，出生地点。

8~11.请分别填写申请人的现住所，电话号码，手机号码，E-mail。

12.请填写申请人的身份证号码
13~17.请分别填写申请人的护照号码，护照种类（并在相应括号中标注），签发地，签发日期，到期日期。

18.请填写职务，如：公司职员，业务经理，个体户（法人代表），学生，家庭主妇等。

如申请人是自由职业者，请填写具体从事的工作，如：文学创作，画家等。

如申请人现已退休，请填写“退休”。

19.请填写单位的联系电话号码（没有单位请填写“无”）
20.请填写单位名称和地址或学校名称，如果申请人已退休，请填写退休前所在单位名称。

21~25.如已婚请填写配偶的个人资料。

26.请填写具体的访韩目的，如：商务，参加会议，旅游，自由购物，市场调查，探亲，看朋友，参加婚礼，结婚定居，整容，就业，留学，语言研修等。

27.请填写预定在韩国的滞留时间。

28.请填写预定去韩国的日期。

29.请填写访韩次数。

（去过就写去过几次，没去过请写“无”）
30~31.请填写入境后的停留地址和电话号码，如***饭店（饭店名称），首尔东大门区里门洞345号（父母家地址），首尔三星总公司（访问公司的地址）等。

(与35项联系人及联系电话一致))
32.请填写访韩费用负担者。

（自费，公费，或他人支付等）
33.请填写最近5年内去过的国家名称。

34.如有一同访韩的同伴（家人，同事，或朋友等），请填写表格中的相应内容，如没有请填写“无”。

35.请填写在韩联系人。

※联系人可以是韩国人，中国人或其他外国人。

（与31项联系人及联系电话一致）
○ Fill out the form in English language and sign it with your signature.
○ Attach a photo taken within the last 6 months.
○ Submission of additional documents may be requested, after the application is completed.
○ The visa issuance may be denied after the screening of the application.
○ Applicants shall notify the competent Korean embassy if there is a material change after the application is lodged or a visa has been issued.
○ If you obtain a new passport after a visa has been issued, you should transfer the visa onto a new passport before departure.
○ If you have a history of breaking the immigration law in foreign countries, you should submit the details of it with the application.
Write down the number of the Confirmation of Visa Issuance, if applicable.
1~2. Write down the name as printed in your passpo rt. Surname is last name and given name is first name.
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, mobile phone number and email in your home country.
13.~17. W rite down the type of your passport (see your passport) and draw a circle around the appropriate one.
※ DP(Diplomatic Passport), OF(Official Passport), OR(Ordinary Passport)
18.∼20. Write down your occupation and the phone numberㆍnameㆍaddress 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 in Korea. 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 Culture and 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.。