Silla University

A P P L I C A T I O N 	F O R M

Office  of  International  Affairs, Silla University
140  Baeyang-daero(Blvd)  700beon-gil(Rd),  Sasang-gu, Busan,  Korea  (Zip code:  46958)
Tel :  +82-51-999-5511,  5512,  Fax :  +82-51-999-5519
Website  :  http://en.silla.ac.kr/en/
E-mail  :  jwchoi@silla.ac.kr   isyun@silla.ac.kr

Attach  Full face photograph  taken within   the   last   6 months(It     should     be like  a  passport photo)

Please   fill in the  following information  completely and  clearly  in  block  letters.

 PERSONAL DETAILS 	

1.  Name:   	
Last  Name(Family  Name),  First  Name,   Middle  Name

※ Please write your full name as indicated on your passport. 

2.  Gender:  □ Female 	□ Male

3.  Date  of  Birth:   	/ 	/ 	  4.  Age:   		5.  Passport  Number:   	
(DD)   (MM)	(YYYY)

6.  Place  of  Birth:   	/ 	  7.  Country  of  Citizenship:   	
(City)	(Country)

7.  Contact Information  :  Must  be  applicant’s

Address  :   	

Phone  #  :   	  E-mail  :   	

8.  Desired   Program to  Apply

Check
⍌	
Course	
Desired   Major	Entry  Term	
Remark	
			Semester	Year(YYYY)		

□	
Bachelor		□ Spring(Mar.)
□ Fall(Sept.)			

□	
Bachelor   Transferred		□ Spring(Mar.)
□ Fall(Sept.)			

□	
Master		□ Spring(Mar.)
□ Fall(Sept.)			

□	
Doctoral		□ Spring(Mar.)
□ Fall(Sept.)			

□	
Korean  Language	
N/A	□ Spring(Mar.)
□ Fall(Sept.)			

※  Without  certificate  of  TOPIK  level  3  or  higher,   admission  for  degree  course is  not  allowed

9.  Desired   On-Campus Housing(Dormitory)  ? 	□ Yes,	□ No.

※  If  you  check  the  Yes,  please  check  your  preferred room   type  below.

Check  ⍌	
Room  Type	
Remark	

□	
2  person room	

Grobal  Town
(2nd  dormitory)	

□	-  2  person room   B type  for  male  student
-  4  person room   for  female   student		

FAMILY  DETAILS

Number	Name	Relationship	Age	Job	Telephone	

1						

2						

3						

4						

5						

6						

ADDRESS

1. 	Current   Address   in  Korea  if you  stay  in  Korea  now

Number  and  street:   	

City:   	State:   	Zip:   	Country:   Korea 	

Current  Telephone(Cellphone):   	

2. 	Current   Address   in  your  country

Number  and  street:   	

City:   	State:   	Zip:   	Country:   	

3.	Current  Telephone:   	  3.  e-mail  address:   	

4.	Emergency  Contact  Person(Name  in  full)  : 	

Number  and  street  :	 	

City:   	State:   	Zip:   	Country:   	

Relationship:   	  Telephone:   	

HEALTH  AND  MEDICAL  INFORMATION

1.  Do  you  have  any  type  of  disability?  □ Yes  □ No

If  yes,  please  specify: 	

2.  Do  you  have  any  allergies   or  other medical   requirements?  □ Yes  □ No

If  yes,  please  specify:   	

3.  If  you  have  any  pre-existing  medical   conditions,  please  give  details.

LANGUAGE  PROFICIENCY

1.  What  is  your  native  language?   	

2.  Circle  one   of  the  numbers which  shows   your  language  ability  in  each   section.
(※  4→Excellent,  3→Good,  2→Fair, 1→Poor)

Language	
Speaking	
Listening	
Reading	
Writing	

Korean	
4 	3 	2 	1	
4 	3 	2 	1	
4 	3 	2 	1	
4 	3 	2 	1	

English	
4 	3 	2 	1	
4 	3 	2 	1	
4 	3 	2 	1	
4 	3 	2 	1	

Other
(	)	
4 	3 	2 	1	
4 	3 	2 	1	
4 	3 	2 	1	
4 	3 	2 	1	

EDUCATIONAL  BACKGROUND

School	
School 	Information	
Period	

Secondary   Education
(High  School)	
Name :

Location  :	
From  : (MM,YYYY) To  : (MM,YYYY)	

Undergraduate
Education	
Name :

Location  :	
From  : (MM,YYYY) To  : (MM,YYYY)	

Graduate
Education	
Name :

Location  :	From  : (MM,YYYY) To  :
(MM,YYYY)	

APPLICANT  AGREEMENT

As an  applicant  for  degree and  Korean  language  program at  Silla University,  I  agree to  abide  by  the

following   ; ※ Please read each article, check each box □ and sign below. 

(1) All the  information  I  have  provided  in  this  application  forms  are  true  and  accurate and  all

documents I  submitted  to  Silla University(hereafter  SU) are  genuine.

Agree	□	Disagree	□	

(2) I  understand that   all  the  documents submitted  to  SU will not  be  returned regardless  of  the  final

outcome of  admission.

Agree	□	Disagree	□	

(3) I  will abide  by  all  the  regulations  of  SU and  the  Korean  laws  and  to  do  my  best   in  my  studies  in

order to  achieve   the  aims  of  the  program.

Agree	□	Disagree	□	

(4) I  give  permission  to  SU, the  Ministry  of  Education  of  Korea,  the  Ministry  of  Foreign   Affairs of Korea,  the  Ministry  of  Justice  of  Korea,  and  affiliated   institutions  to  use  all  the  personal  information provided  in  this  application  form  for  the  purpose of  academic  administration,  visa  issuance, communication,  conducting  surveys,  and  sharing  information  as  needed under relevant  law  of
personal  information  protection

Agree	□	Disagree	□	

I  confirmed  that  I  read  all  of  the  above conditions. I  also  understand  that  the  violation of  any  one  of the  above might  result  in  suspension or  cancellation of  the  admission.

Date(MM-DD-YYYY):   	  Applicant’s  Signature:     	

(unsigned  applications  cannot be  considered)

■ Post  the  application form  and  all relevant  documents and  items   to  the  following address  :

Office  of  International  Affairs, Silla University

140  Baeyang-daero(Blvd)  700beon-gil(Rd),  Sasang-gu,  Busan,  Korea  (Zip code:  46958) Tel :  +82-51-999-5511,  5512,  Fax :  +82-51-999-5519