APPLICATION FORM FOR O O O INTERNATIONAL EXCHANGE PROGRAM

PLEASE TYPE OR PRINT CLEARLY.

■ Personal Information

Family Name

First Name(Given Name)

□ Male □ Female /□ Single □ Married

Date of Birth : Month Day Year

Country of citizenship

street
City Zip Code
Telephone
Fax
E-Mail Address
Passport No.

■ Academic Information

Home Institution
(Address )

Department you belong to / Years of study

■ Study Plans
Selection of Subjects/Semester
What subjects would you like to take List the subjects below
APPLICATION FORM FOR OOO INTERNATIONAL EXCHANGE PROGRAM
I certify that the information on this form is true and
correct to the best of my konwledge and submit this application for placement in international exchange program.

Student
Signature Date
I recommend this person as a student for KAIST
International Exchange Program.

Name of Student Exchange Coordinator

Signature Date

[hwp/doc/pdf]APPLICATION FORM FOR O O O INTERNATIONAL EXCHANGE PROGRAM