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o a : ()110810 j}; 3W 'k 81 ?7yC 205
o }' : www.studylnkorea.go.kr
Korean verslon:
Lngllsh verslon: Korean Government Scholarshlp lrogram = ^nnouncement
o =k : +82236681364, +82236681389
o : +8227434992
o Lmall: nlledmest.go.kr, yhlee2018korea.kr
14. (. 8K!
o oA http://www.kosnet.go.kr
o ok'8 http://korea.net
o o http://www.mofat.go.kr
o D #u http://lmmlgratlon.go.kr
15. H * < >
!
(9hec7 >ist for )pplication 2ocuments)
"#$ (Institute of )pplication) &
%(9onfirmer) & (Signature)
$) Name of -pplicant( (given?first name) (famil+?last name)
C) 0ountr+ (
$) Desired Degree Program ( L 1aster2s L Doctoral
36
R%'ISTR#TI6) )UM!%R
/Do not rite in this area"
(;Please tic7 (D) in the appropriate "o=)
A77'ication )ocuments 0u$mission<:=N>
Che&k List 7es )o
9C ersonal 2ata .#tta&hment D90
<C Sel, Introdu&tion .#tta&hment D<0
;C Study lan .#tta&hment D;0
AC Letter o, Re&ommendation .#tta&hment DA0
:C ledge .#tta&hment D:0
@C %RS6)#L M%2IC#L #SS%SSM%)T .#tta&hment D@0
?C Copy o, diploma or &erti,i&ate o, graduation ,rom undergraduate institution
>C Trans&ripts H student re&ords ,rom undergraduate institution
=C Copy o, diploma or &erti,i&ate o, graduation ,rom graduate institution
9BC Trans&ripts H student re&ords ,rom graduate institution
99C Certi,i&ate o, Korean Language ro,i&ien&y .original &opy o, T6IK0
9<C Certi,i&ate o, T6%3L or I%LTS S&ore .original &opy0
9;C u"lished papers, i, a-aila"le
9AC #+ards, i, a-aila"le
9:C Copy o, passport
9@C Certi,i&ate o, Citizenship o, the #ppli&ant and 4isI4er arents F "irth &erti,i&ate,
passport, et&C .Gonly ,or o-erseas Korean immigrants0
9?C #doption do&uments .Gonly ,or o-erseas Korean adoptees0
-ttachment I#
( )
(!nl* for )pplicants (including Korean adoptees) 1ho appl* for this program via an Em"ass* of Korea)
Korean Government Scholarship Program(KGSP) )pplication 6orm for Graduate Stud*
/Please tic8 (M ) a &o! that applies to +ou"
3 &'$ (Institute of ?ecommendation)
L (Em&ass+)
C" &' () ($*pe of ?ecommendation)
L (General) L (Korean -doptee)
37
3 (2egree 9ourse of )pplication)
L (1aster2s) L (Doctoral)
4 *+,-(2esired 6ield of Stud*)
L (Aumanities and Social Sciences)
L ! (Natural Sciences and Technolog+)
L "#$ (-rts and Ph+sical Education)
: ./0# 1 ($!PIK :2 34) 5 *+ 6
(Preferential Entrance 2ate E !nl* for $!PIK >evel : holders,
;$!PIK >evel ( holders must start their stud*ing from Sep 1, 2013)
L RSep #, 5*#$ L R 1ar #, 5*#C
789 (Personal 2ata)
Please read the form carefully. All applicants must complete all sections only by typing.
%&
.3ull )ame0
'(.'i-en name0 F %.3amily name0 F J Male
J 3emale
J Single
J Married
.hoto ;GA0
G )ame should "e spelled the same as in the passport and in
%nglishC
)*
.2ate o, !irth0
).yyyy0 *.mm0 .dd0 +'.#geF 0
,
.Country0
-
.Citizenship0
./
.assport0
.)um"er0
.2ate o, Issue0 .2ate o, e*piry0
!01
.%mergen&y
#ddress0
#ddressF
TelC . 0 %8mailF
234
.In,ormation
&on&erning
appli&antKs most
re&ent edu&ation0
2356."07
.)ame o, pre-iously
attended Uni-C0
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dissertation, i,
a-aila"le0
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ro,i&ien&y0
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.%nglish ro,i&ien&y0
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Korean Language
ro,i&ien&y
.only T6IK0
Le-elF J9 J< J; JA J: J@
S&oreF
u"lished papers, i,
a-aila"le.one or t+o0
#+ards, i, a-aila"le
.one or t+o0
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.#pplying Uni-ersity0
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&
.3a&ulty0
&
.2epartment0
=
.#&ademi& Ma$or0
Uni-ersity 9
Uni-ersity <
Uni-ersity ;
38
4
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Career0
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7 &
.)ame o, Uni-C0
89,
.Country0
=HI
.#&ademi& Ma$or0
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2egree0
L
L
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&ripts0
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F
.only
terms
attend
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S&hool
7ear
9
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year <
nd
year ;
rd
year A
th
year :
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year OP
OQ .'#0
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(converted
score)
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Term 9 < ; 9 < ; 9 < ; 9 < ; 9 < ;
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I I I I I I I I I I I I I I I
Master I I I I I I I I I I I I I I I
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. I 0 L
. I 0 L
).yyyy0 *.mm0 .dd0
#ppli&ant1s )ame F .signature0
/ GP-(Grade Point -verage) must &e converted on a ma!imum scale of #** points (converted points) / See -ttachment "I=
/ .ill out &oth the records of Dachelor2s N 1aster2s in the case of those appl+ing for Doctoral programs
39
-ttachment I#
(!nl* for )pplicants 1ho appl* for this program via a 2esignated 3niversit*)
Korean Government Scholarship Program(KGSP) )pplication 6orm for Graduate Stud*
/Please tic8 (M ) a &o! that applies to +ou"
4 &'$ (Institute of ?ecommendation)
L _E (Korean 'niversit+)
%" &' () ($*pe of ?ecommendation)
L (General)
3 (2egree 9ourse of )pplication)
L (1aster2s) L (Doctoral)
4 *+,-(2esired 6ield of Stud*)
L (Aumanities and Social Sciences)
L ! (Natural Sciences and Technolog+)
L "#$ (-rts and Ph+sical Education)
: ./0# 1 ($!PIK :2 34) 5 *+ 6
(Preferential Entrance 2ate E !nl* for $!PIK >evel : holders,
;$!PIK >evel ( holders must start their stud*ing from Sep 1, 2013)
L RSep #, 5*#$ L R 1ar #, 5*#C
789 (Personal 2ata)
Please read the form carefully. All applicants must complete all sections only by typing.
%&
.3ull )ame0
'(.'i-en name0 F %.3amily name0 F J Male
J 3emale
J Single
J Married
.hoto ;GA0
G )ame should "e spelled the same as in the passport and in
%nglishC
)*
.2ate o, !irth0
).yyyy0 *.mm0 .dd0 +'.#geF 0
,
.Country0
-
.Citizenship0
./
.assport0
.)um"er0
.2ate o, Issue0 .2ate o, e*piry0
!01
.%mergen&y
#ddress0
#ddressF
TelC . 0 %8mailF
234
.In,ormation
&on&erning
appli&antKs most
re&ent edu&ation0
2356."07
.)ame o, pre-iously
attended Uni-C0
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<
.#&ademi& 2egree
re&ently a+arded0
J !a&helor J Master
=
.#&ademi& Ma$or0
23<>?@
.Title o, graduation
dissertation, i,
a-aila"le0
40
A$4
.Language
ro,i&ien&y0
BA%-
.%nglish ro,i&ien&y0
T6%3L I%LTS
S&ore F
Korean Language
ro,i&ien&y
.only T6IK0
Le-elF J9 J< J; JA J: J@
S&oreF
u"lished papers, i,
a-aila"le.one or t+o0
#+ards, i, a-aila"le
.one or t+o0
CDE
.#pplying Uni-ersity0
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.)ame o, Uni-C0
&
.3a&ulty0
&
.2epartment0
=
.#&ademi& Ma$or0
4
.#&ademi&
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.)ame o, Uni-C0
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2egree0
L
L
%-
.Trans
&ripts0
G'M
FN
F
.only
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attend
ed0
S&hool
7ear
9
st
year <
nd
year ;
rd
year A
th
year :
th
year OP
OQ .'#0
RSQM
(converted
score)
/100
Term 9 < ; 9 < ; 9 < ; 9 < ; 9 < ;
!a&hel
8or
I I I I I I I I I I I I I I I
Master I I I I I I I I I I I I I I I
T6 UV !WX4
.6&&upation or
Resear&h Career0
F G
.eriod0
F &
.Institution or
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T Y
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.6peration or 2uty0
L
L
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C\^.#mount0
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M]FG
.eriod0
. I 0 L
. I 0 L
).yyyy0 *.mm0 .dd0
#ppli&ant1s )ame F .signature0
/ GP-(Grade Point -verage) must &e converted on a ma!imum scale of #** points (converted points) / See -ttachment "I=
/ .ill out &oth the records of Dachelor2s N 1aster2s in the case of those appl+ing for Doctoral programs
41
-ttachment I5
:; (Self Introduction)
* Please type or print clearly within pa!e usin! blac" in". #in Korean or in En!lish$ #*% points$
o 7our &ourse o, li,e, your -ie+ o, li,e, study "a&kground, your hopes H +ishes, et&
o 7our edu&ation and +ork e*perien&e, et&C, in relation to the K'S program
o 7our moti-ations ,or applying ,or this program
o Reason ,or study in Korea
42
-ttachment I$
<,= (Stud* Plan)
* Please type or print clearly within pa!e usin! blac" in" . #*% points$
'oal o, study H
Study lan
o Goal of study, title or subject of research, and detailed study plan
3uture lan
a,ter Study
o Future plan in Korea or another country after study in Korea
43
-ttachment IC
>etter of ?ecommendation
$o the applicant( Please fill in +our name and the other re4uired information &elo" In turn, deliver or email this form to the person
ho ill rite this letter" %!$E& Fe4uest +our recommender to seal his or her letter of recommendation in an official envelope and
sign across the &ac8 flap upon completion" Fecommendation letters that are not sealed and signed ill not &e accepted"
9onfidential
Name of -pplicant( (given name) (famil+ name)
Nationalit+(
Desired Degree Program( L 1aster2s L Doctoral
Desired 1a7or(
$o the recommender( The person named a&ove has applied for the OKorean Government Scholarship Program2" Ge as8 for +our
assistance, and ould appreciate +our fran8 and candid appraisal of the applicant"
* Please type or print clearly using black ink .
5" Ao long have +ou 8non the applicant and in hat relationshipP
Please assess the applicantQs 4ualities in the evaluation ta&le given &elo" Fate the applicant compared to other classmates ho
are?ere in the same school +ear ith him?her"
Classi,i&ation
Truly
%*&eptional
%*&ellent Very 'ood 'ood !elo+ #-erage
)I#
Top <N Top 9BN Top <:N Middle :BN Lo+er <:N
#&ademi& #&hie-ement
3uture #&ademi& otential
Integrity
Responsi"ilityIIndependen&e
Creati-ityI6riginality
Communi&ation Skills
Interpersonal skills
Leadership
$" Ghat do +ou consider to &e the applicant2s strengthsP
44
C" Ghat do +ou consider to &e the applicant2s ea8nessesP
%" Ao ell do +ou thin8 the applicant has thought out plans for graduate stud+P
%" Please comment on the applicant2s performance record, potential, or personal 4ualities hich +ou &elieve ould &e helpful in
considering the applicant2s application for the proposed degree program"
Fecommender2s Name Date
Fecommender2s Signature
Position or Title(
'niversit+ (Institution)(
-ddress(
(@ip,code( , )
Tel( .a!(
Please return this form sealed in an official envelope and signed across the "ac7 to the applicant Fe greatl* appreciate *our
timeliness regarding this letter for *our recommendee
45
-ttachment I%
GKorean Government Scholarship Program for Graduate Stud*H
5'ed#e <>>
#s an appli&ant ,or the <B9; OKorean 'o-ernment S&holarship rogram .K'S0 ,or
'raduate StudyP, I pledge to a"ide "y the ,ollo+ing rules?
.90To re,rain ,rom -iolation o, uni-ersity regulations and to ,ul,ill my o"ligations as a
student to the "est o, my a"ilityC
.<0To "eha-e in a manner appropriate to Korean &ulture and so&iety, and not to
parti&ipate in any ,orm o, politi&al a&ti-ity .su&h as organizing a politi&al party,
$oining a politi&al party, attending politi&al meetings, pu"lishing politi&al arti&les
and de&larations, organizing or parti&ipating in demonstrations o, a politi&al
nature, and so on0C
.;0 To a&&ept responsi"ility ,or paying any de"ts in&urred in Korea
.A0 To agree +ith )II%21s de&ision &on&erning the graduate program and the Korean
language &ourseC
.:0 To a"ide "y all terms and regulations set "y )II%2C
.@0 To permit )II%2 to use my personal in,ormation ,or the K'SC
I, I am pro-ed to ha-e -iolated any o, the a"o-e or to ha-e made a ,alse statement
in my appli&ation do&uments, I shall a&&ept any resolution or penalty made "y
)II%2, e-en +hen it mayImight result in suspension, re-o&ation or +ithdra+al o, my
s&holarshipC
I +as in,ormed and ,ully understand that K'S students are not permitted to trans,er
s&hools ,or the entire duration o, s&holarship a,ter &on,irming their host institutionC
.yyyy0C .mm0C .dd0C
#ppli&antKs )ame F .signature0
46
-ttachment I)
PE?S!%)> 8E2I9)> )SSESS8E%$
-pplicants are not re4uired to undergo an authori@ed medical e!am &efore passing the 5
nd
Selection ith NIIED6 hoever, all
successful candidates must ta8e a comprehensive medical e!am hen its2 orientation (including an AIB and TDPE drug test//, etc)
in accordance ith the re4uirements of the Korea Immigration Service and the KGSP" If the results sho that the applicant is unfit to
stud+ and live overseas more than $ +ears, he?she ma+ &e dis4ualified"
//The TDPE (tetra&romophenolphthalein eth+l ester) drug tests are for evaluating past usage of stimulant drugs"
'enderF .*1-.4 &m ,*1-.4 kg
2 Qhen and ,or +hat reason did you last &onsult a
physi&ianR .lease e*plain in the ad$a&ent spa&eC0
/U%STI6) 7%S )6 I3 7%S, L%#S% %SL#I)
4a-e you e-er had an in,e&tious disease that posed a
risk to pu"li& health .su&h as, "ut not limited to,
tu"er&ulosis, 4IV and other ST2s0R
9C allergiesR
<C high "lood pressureR
;C dia"etesR
AC any type o, 4epatitisR
4a-e you e-er su,,ered ,rom or "een treated ,or
depression, an*iety, or any other mental or mood
disorderR .I, you ha-e re&ei-ed treatment, please e*plain
and atta&h an o,,i&ial medi&al reportC0
4a-e you e-er "een addi&ted to al&oholR
4a-e you e-er a"used any nar&oti&, stimulant,
hallu&inogen or other su"stan&e .+hether legal or
prohi"ited0R
I, ne&essary, are you prepared to undergo physi&al tests
to -eri,y the ans+ers gi-en in response to (uestions
and a"o-eR
4a-e you "een hospitalized in the last t+o .<0 yearsR
4a-e you had any serious in$ury, ailment or si&kness in
the last ,i-e .:0 yearsR
2o you ha-e any -isual or hearing impairmentsR
2o you ha-e any physi&al disa"ilitiesR
2o you ha-e any &ogniti-eImental disa"ilitiesR
#re you taking any pres&ri"ed medi&ationR
#re you on a spe&ial dietR
6n a-erage, ho+ many standard ser-ings o, al&ohol do you &onsume ea&h
+eekR
47
-ttachment I=
GP) 9onversion $a"le
4.0 0ca'e 4.3 0ca'e 4.5 0ca'e 100 5oints 0ca'e
;C=? L ACB AC<@ L AC; ACA@ L AC: 100
;C=< L ;C=@ AC<< L AC<: ACA9 L ACA: 99
;C>> L ;C=9 AC9? L AC<9 AC;@ L ACAB 98
;C>A L ;C>? AC9< L AC9@ AC;9 L AC;: 97
;C>B L ;C>; ACB> L AC99 AC<@ L AC;B 9@
;C?: L ;C?= ACB; L ACB? AC<9 L AC<: 95
;C?9 L ;C?A ;C=> L ACB< AC9@ L AC<B 94
;C@? L ;C?B ;C=; L ;C=? AC99 L AC9: 93
;C@< L ;C@@ ;C>= L ;C=< ACB@ L AC9B 92
;C:> L ;C@9 ;C>A L ;C>> ACB9 L ACB: 91
;CA= L ;C:? ;C?: L ;C>; ;C=9 L ACBB 90
;CA9 L ;CA> ;C@: L ;C?A ;C>9 L ;C=B 89
;C;< L ;CAB ;C:@ L ;C@A ;C?9 L ;C>B 88
;C<A L ;C;9 ;CA@ L ;C:: ;C@9 L ;C?B 87
;C9: L ;C<; ;C;? L ;CA: ;C:9 L ;C@B 8@
;CB? L ;C9A ;C<? L ;C;@ ;CA9 L ;C:B 85
<C=> L ;CB@ ;C9> L ;C<@ ;C;9 L ;CAB 84
<C=B L <C=? ;CB= L ;C9? ;C<9 L ;C;B 83
<C>9 L <C>= <C== L ;CB> ;C99 L ;C<B 82
<C?< L <C>B <C=B L <C=> ;CB9 L ;C9B 81
<C@A L <C?9 <C>B L <C>= <C=9 L ;CBB 80
-ttachment I;
9ontact Information of the 1
st
Selection Institutions
Korean Em"assies (or 9onsulates)
No. Countr! 4*; /AA *mai'
1 #lgeria <9;8.B0<9 ?= ;A BB <9;8.B0<9 ?= ;A B;LA koemalTmo,atCgoCkr
2 G#ngola U)ami"iaV .<AA0<<<8BB@8B@?, B@> .<AA0<<<8BB@8B@@ Korem"assyWangolaTmo,atCgoCkr
3 #3'4#)IST#) .=;8<B0 <9B8<A>9 >?;8?@<8?<>8A>9 ka"ulTmo,atCgoCkr
4 #rgentina :A8=99 :=;@89;>? :A899 A>B;8@==; &halleniThanmailCnet
5 #rmenia ?8A=:8?>;8<?<? ?8A=:8?>;8<??? in,oTkoreaem"Cru
@ G#ustralia USlo-eniaV @98< @<?B8A9BB @98< @<?;8A>;= in,oTkoreaCorgCau
7 #ustria A;89 A?>89==9 A;89 A?>89B9; mailTkoreaem"Cat
8 #zer"ai$an ==A89<8:=@8?=B9L; ==A9<8:=@8?=BA azerem"Tmo,atCgoCkr
48
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