[Form 1]

Applications for Special Admissions for Foreigners for the 2025 School Year												Photo
Name	Korean					Exam Registration Number
	English
Nationality								Alien registration number
Passport number								Visa Expiration Date
Date of birth								Gender				M( ) / F( )
Phone number	Korea		Mobile 1					Mobile 2
	Home country		Mobile 1					Mobile 2
	Online		E-mail 1					E-mail 2
Address	Korea
	Home country
Department you apply to
TOPIK			Level :
Domestic Korean Language Education (when applicable)			University				Education period						Final Completion Level
							Starting date			Ending date
Guardian
Name										Nationality
Phone number										Relationship
Home address
Education
Classification		School name			Country name				Period of enrollment (YYYY/MM/DD)					Duration
High School														years
Middle School														years
Elementary school														years
* Note:
I, the undersigned, do hereby certify that the above statement is not false, and I hereby submit the prescribed documents for admission to your university. __________________ YYYY/MM/DD Applicant’s Name (signature) Dongnam Health University President

[Form 2]

Personal statement (academic plan)

Introduce yourself (hobbies, talents, life perspective, upbrining, family environment, and etc.) in Korean and English.

2. Describe the motivation for your application and your academic plans after admission in Korean and English.

I certify that the above is true and correct.

____________________

YYYY/MM/DD

Applicant’s Name                     (signature)

[Form 3]

Student Financial Aid Pledge

Applicant
Name	Korean
	English
Date of birth
Passport number
Nationality
Financial guarantor ※ If an applicant submits proof of his/her own bank account balance, the financial guarantor is the applicant. ※ If an applicant submits the bank statement of his/her parent, the financial guarantor is the parent.
Name
Relationship with the applicant
Occupation
Address
Contact number
I pledge to bear all expenses of the above applicant during the period of study abroad. ______________________ YYYY/MM/DD Guarantor's name (signature) Dongnam Health University President

※ Financial guarantors can only be you and your parent.

[Form 4]

Personal Information Collection, Use, and Third-Party  Disclosure Consent form [For International Students]

Dongnam Health University collects, uses, and provides your personal information to third-parties for the purpose of accepting applications and screening for foreign students. Please read the following carefully, and then check and sign your consent.

Items of personal information to be collected and used	Purpose of collection and use of personal information	Period of use and retention of personal information
Photo, full name (Korean, English), nationality, gender, date of birth, visa type at the time of application, visa expiration date, phone number, Korean address, home address, department of application, TOPIK score, Korean education information (when applicable), guardian information, educational background, guarantor information, parent information, high school grades, elementary/secondary education grades (when applicable) family nformation, official record of entry and departure, deposit balance information, income/property information.	Foreign Student Admissions Processing	5 years

▶ Personal Information Collection and Use Agreement[“Required”]

※ You have the right to refuse the collection and use of your personal information. However, if you refuse to consent, there may be some restrictions on processing your application.

Personal Information Collection and Use Agreement	□ Yes □ No

▶ Notice of Collection and Use of Personal Information

Personal information is collected and used without the consent of the information subject in accordance with Article 15 Section 1 Clause 2 of the Personal Information Protection Act.

Personal information processing items	Purpose of collection and use of personal information	Basis of collection
Alien registration number, passport number	To handle foreign student admissions	Article 73 of the Enforcement Decree of the Higher Education Act

▶Consent to provide personal information to third-parties[“Required”]

Where to submit	Items of submission	Purpose	Term of Use
Ministry of Justice	name, nationality, date of birth, gender, address, mobile phone number, passport number, alien registration number, photograph, grades, date of enrollment, date of graduation, date of change of status	Visa issuance and stay	Until graduation
University education Council	university code, provincial code, municipal code, affiliation code, type of selection code, recruitment unit name, recruitment period code, application result code, examination number, full name, alien registration number or passport number, day/evening class code, type of high school code, high school code, graduation year, enrollment date code, third-party consent status code, reception location code	⦁Identification of violators of the legitimate college application procedure ⦁Verification of admission data by university ⦁Public disclosure of university information	Until completion of all the procedures

※ You may refuse to consent to this. However, please note that you may not be able to obtain insurance or obtain a visa if you refuse to consent.

Consent to provide personal information to third-parties	□ Yes □ No

I have read, clearly understand, and agree to the above.

______________________

YYYY/MM/DD

Applicant’s name:                         (signature)

Dongnam Health University President