[별지 제4호 서식]

PERSONAL INFOMATION * FOR OFFICIAL USE ONLY									[PHOTO] (3cm×4cm)
FULL NAME	Last/First/Middle			DATE OF BIRTH		Month/Day/Year
				PLACE OF BIRTH
NATIONALTY (include any dual nationlity)				DATE ＆ PLACE YOU ENTERED KOREA		Month/Day/Year City/Country
ADRESS							GENDER
WORK PLACE			JOB/POSITION
TELLEPHONE NUMBERS (Include Area code)	HOME : WORK : MOBILE :
EDUCATION	NAME OF SCHOOL	DATES ATTENDED (MM/YY-MM/YY)			DEGREE/MAJOR			GRADUATION DATE(MM/YY)		LOCATION (Address ＆ City/Country)

EMPLOYMENT HISTORY	EMPLOYER/REFERENCE		DATES EMPLOYED (MM/YY-MM/YY)		POSITION		LOCATION (Adress ＆ City/Country)
FAMILY INFOMATION	RELATION	FULL NAME Last/First/Middle		DATE OF BIRTH		OCCUPATION		PHONE NUMBER
RELATIVES ＆ ACQUAINTANCESS IN KOREA