International Student ID card application

Purpose	□ Credit card compatible □ Credit card incompatible
Student Number
Name
Date of birth
Affiliation	(College/Graduate School)	(Department)
Contact Info
Issue status & Fees	□ New Issue(Free) □ Re-issue(5000KRW)

※ Issuing fees doesn’t apply when re-issuing due to chip error or expiration date.

□ Consent to collection and use of personal information

Catagory	Items	Purpose	Duration
Mandatory	Name, Student Number, Contact Number, Date of birth	Issue ID card	Terminate after issue
Selectable	Address, E-mail

(Mandatory) Consent to collection and use of personal information (Selectable) Consent to collection and use of personal information	□Yes □No □Yes □No

※ You have the right to refuse to give consent to the collection and use of personal information. However, if you refuse to give consent for the mandatory items you cannot  apply, you may get your card issued even if you refuse selectable items.

※ This application will be discarded according to Article 21 of the Personal Information Protection Act (Termination of Personal Information) and Article 16 of the Enforcement Decree of the Personal Information Protection Act (Method of termination of personal information).

Year    Month    Date

Applicant :                  signature (    )

To Office of Student Affairs (Certificate Department)