※ 외국대학 출신 지원자만 제출(Only for applicants who university abroad)

학력 조회 동의서(Letter of Agreement)

(For Verification Of Academic Record)

성명(Name)

(한글/Korean)

(영문/English)

지원학과(Dept.)

‣ 출신 대학 현황(Academic Information)

교육과정

Level of

Education

작성언어

Language

대학교명

Name of School

학교주소

School Address

전화번호/Phone

팩스번호/Fax

학위번호

Registered

Number

출신대학

(College or

University)

영 어

(English)

현지어

(Local

Language)

※ College information is only for transfer applicants.

※ Phone and fax number must include country and regional calling codes.

※ Applicants must correctly fill out the above information in order to properly investigate her or his education background.

위의 자료는 귀 대학교에서 공식적으로 나의 학력 자료를 조회하는데 이의가 없음에 동의합니다.

I hereby authorize that Chungbuk National University could officially request my academic and personal information from the academic institution I have attended, in connection with the admission process.

2020. . .

(YY / MM / DD)

지원자 성명 / Name of Applicant: (서명/Signature)

※ 외국대학 출신 지원자만 학력조회 동의서를 작성하여 입학원서 및

그 밖에 구비서류와 함께 제출

(Only for applicants who graduated/expect to university abroad)

Please submit this form with other application materials.

접수(수험)번호

(Application Number)

※ 접수(수험)번호 란에는 입학원서에 표기된 접수(수험)번호 기재

(Please enter your application number on your application receipt here.)