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창의인재원 정기방역 신청서
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* Indicates required question
개인정보 제공 동의
*
Do you agree on providing personal information? / 同意提供个人信息
예 / Yes / 同意
아니오 / No / 不同意
학번
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Student ID / 学号
Your answer
이름
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Name (In case of International Student, full name in english) / 韩文名字
Your answer
성별
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Sex / 性别
남 / Male
여 / Female
거주 생활관
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Housing Building / 现在所住宿舍楼
창의관 / Chang-ui Hall
인재관 / Injae Hall
생활관 호실
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Room number / 房间号 (※ 숫자로만 기입할 것 / Write only in number )
Your answer
연락처 (ex. 010-1234-5678)
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Contact (Cell phone no., If you do not have cell phone number, please write your Kakao Talk ID)/ 联系方式
Your answer
비고
Etc.
Your answer
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