HWP문서SignedConsentForm+양식.hwp

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Signed Consent Form (학위조회동의서)

By signing this form, I am giving my agreement and hereby authorize the NRF(National Research Foundation of Korea) to verify my degree/enrollment records.

Please indicate accuracy of the information below. If necessary, include corrections/notes.

Applicant's Information

Completed by the applicant

Verification

(To be completed by the Institution)

Name:

Given name Family name

Correct Incorrect

Date of birth:

MM-DD-YYYY

Correct Incorrect

Student ID No.:

Correct Incorrect

Date of admission(transfer date from other institution):

MM-DD-YYYY

Correct Incorrect

Date of graduation

MM-DD-YYYY

Correct Incorrect

Degree in (major):

Correct Incorrect

Degree: Bachelor Master Ph. D

Correct Incorrect

Title of Thesis:

Correct Incorrect

Date of Degree Conferment(registered):

MM-DD-YYYY

Correct Incorrect

Applicant's Signature:

Date:

MM-DD-YYYY

Additional comments(if any) :

Respondent's Information

Name of

Organization

Address

Telephone

FAX

e-mail

Date:

MM-DD-YYYY

Name and title of position:

Signature:

official SEAL

한국연구재단

National Research Foundation of Korea

25 Heolleungno, Seocho-gu, Seoul, Korea 137-748

Phone: FAX:

The information you provide will be kept in strict confidence and will be used only for the purpose of degree inquiry. Please do not hesitate in contacting NRF for any questions. Thank you for your assistance.