Upon admission, all student must fill out and submit this form to the Office of Academic Affairs with supporting documents specified in this form. All information collected by this form will be kept in the strictest confidentiality.

TO BE COMPLETED BY ALL STUDENTS

STUDENT INFORMATION First Name (passport)

Last Name (passport)

First Name in Korean (Korean students only)

Last Name in Korean (Korean students only)

G-number Gender

Phone Personal Email

Mailing Address (in English or Korean)

Korean Citizen Registration Number (Korean students only) Korean Military Service Completed (Korean male students only) □ Yes □ No

IMMIGRATION INFORMATION

Nationality US-Korea Dual Citizenship □ Yes □ No

Passport Number Date of Birth

Date of Issue Date of Expiration

EMERGENCY CONTACT

Name Relationship with you

Mailing Address

Phone Email

STUDENT PROFILE Upon admission, all student must fill out and submit this form to the Office of Academic Affairs with supporting documents specified in this form. Contact:

+82-32-626-5201 / mkaa@gmu.edu

FOR NON-KOREAN STUDENTS

In order to study in Korea, non-Korean students must have a valid student visa approved by the Korean embassy in their home country. If you are already in Korea with non-student visa, you can change your visa type to student at the Incheon Immigration Office. If you have acquired non-student visa that allows you to study in Korea such as Overseas Korean visa (F-4), you must submit a copy of your alien registration card to the Office of Academic Affairs.

Upon submission of this form, the university will contact you and help you prepare the documents that you need to submit to the embassy or the immigration.

FOR ALL STUDENTS

INSTRUCTION Complete form must be submitted to the Office of Academic Affairs at mkaa@gmu.edu with the following documents.

# Korean Students # Non-Korean Students # Students with Overseas Korean Visa - Copy of Passport - Copy of Passport

- Certificate of Financial Responsibility- Official Bank Statement

- Copy of Passport- Copy of Overseas Korean Registration Card

I have voluntarily provided the above information for emergency contact purposes and for compliance with relevant Korean reporting laws including but not limited to Korean Immigration and Military Manpower Administration.

_________________________________________ _________________________________________ Student Signature Date

FOR OFFICE USE ONLY

ADMISSION

Semester Admitted Spring _________ Fall _________ Admission Type

PPP Admission □ Yes □ No Transfer

IMMIGRATION

Visa Type Visa Waiver □ Yes □ No

Reason of Waiver

_________________________________________ _________________________________________ Officer Name and Signature Date