/ Application for Admission / APPLICATION NUMBER

1. Applicant Information.

Name in English
(last/first/middle) / Photo
Nationality / Gender
Acquisition Date of Citizenship(yyyy/mm/dd) / Marital Status
Date of Birth
(yyyy/mm/dd) / Place of Birth
Passport # / Resident Registration #
Current Job
Classification / □ Government officer
□ Professor in national Univ. / □ Researcher in national institutions
□ Employee in private sector
□ Etc.
Contact Information
Mailing Address :
E-mail :
Telephone 1 (home) :
Telephone 2 (office) :
Mobile Phone :
Telephone # in Korea(if any):
Fax :

2. Intended Program & Major

Intended Program / MS Ph.D
Intended Major /  Engineering  IT Management

3. English Proficiency Test

PBT
TOEFL / CBT
TOEFL / IBT
TOEFL / TEPS / TOEIC / IELTS / Other
Score /  English lecture
 Exempted
 None
Date taken(yyyy/mm/dd)

4. Academics

Education

List the names and other necessary information of the schools you have attended or are attending in chronological order.

Date of
(yyyy/mm) / School Information / Academic Achievement
entrance / graduation
Bachelor’s / Name: / GPA / Earned/Full mark
Postal Address:
Telephone:
url: / Major
Minor
Dual Major
Academic Major:
Diploma or Degree: / Level of Univ.*.:
Name: / GPA / Earned/Full mark
Postal Address:
Telephone:
url: / Major
Minor
Dual Major
Academic Major:
Diploma or Degree: / Level of Univ.:
Master’s / Name: / GPA / Earned/Full mark
Postal Address:
Telephone:
url: / Major
Minor
Dual Major
Academic Major:
Diploma or Degree: / Level of Univ.:
Name: / GPA / Earned/Full mark
Postal Address:
Telephone:
url: / Major
Minor
Dual Major
Academic Major:
Diploma or Degree: / Level of Univ.:

* Please choose the level of university you graduated among the followings;

1. Top 3 in the country 2. Top 10 in the country 3. Upper 20% 4. Upper 50% 5. Others

5. Publications

Please list the publications related to your proposed field of study, including graduation dissertation.

Date
(yyyy/mm) / Titles / Name of Journal or
Graduation dissertation

6. Work/Research Experience

Please list your main work experience and paid jobs related to your study and research.

Period
(yyyy/mm) / Name & Location of Workplace / Position / Job Description/Duty
(In detail)
from / To
present

* Write in chronological order

7. Family Background

Relationship / Name / Date of Birth / Occupation / Residence/City

8. Academic Reference

This application requires two Letters of Recommendation from your universities you have attended or are attending. Please provide the following information of the two teachers who will write recommendation letters for you.

Name
Affiliation
Position
Postal Address
E-mail Address / Telephone number
Name
Affiliation
Position
Postal Address
E-mail Address / Telephone number

9. Interested Areas of Study

Field / Track / Order of Preference*
Engineering / Ubiquitous Computing
Bioinformatics & Information Management
Software Engineering
Media and Interaction
Information Security
Internet
Optical Communication
Multimedia Communication & Processing
Wireless Communication
Radio and Bio Electronics
System on Chips
Management / IT-Management
IT-Economics/Policy
(Other-please specify)

* Number your preferred tracks of study up to 3. #1 should indicate the area in which you are most interested.

10. Study Background

Knowledge of
Major Field / o your knowledge, education and work experience, etc in relation to major field
Reason for
Studying in Korea
Key Achievements / o important books, thesis, report, patent, R&D achievement, prize-winning & scholarship record, etc

11. Study Plan

Goal of study &
Study Plan / o goal of study, title or subject of the research and detailed study plan
Action Plan
after Study / o Describe how to contribute to the development of the country or the region you belong to through collaboration with Korean entities.
(Specified proposal showing your commitment is preferred)

12Self Introduction

I certify that the information provided in my application is accurate, complete, and honestly presented. I understand that any omission, intentionally inaccurate information or misrepresentation herein may result in cancellation of my admission to KAIST.

______

Applicant’s Signature Date (yyyy/mm/dd)