Applicant information

• First Name:
  
• Family Name:
  
• Gender:
  
• Birth Date:
  --

Contact Information

• E-mail Address:
  
• Telephone Number:
  
• Address Line:
  

Travel Information

• Is your travel to the South Korea occurring in transit to another country?:
  No
• Expected arrival date:
  --
• Expected departure date:
  --

Employment Information

• Do you have a current or previous employer?:
  No
• Job Title:
  
• Employer Name:
  

• Country Passport:
  
• Issuing Country:
  
• Passport number:
  
• Passport Date of Issue:
  --
• Expiration date:
  --

• Please select if you are also a national or citizen of another country other than the nationality of your passport:
  No
• Country of Citizenship / Nationality:
  
• How did you acquire citizenship / nationality from this country?:
  

• Do you have any physical or mental disorder? or you are a drug addict or addict; or do you currently have any of the following diseases:
  No
• Have you ever been arrested or convicted for a crime that resulted in serious damage to property, or serious harm to another person or government authority?:
  No
• Have you ever violated any law related to possessing, using, or distributing illegal drugs?:
  No
• Do you seek to engage in or have you ever engaged in terrorist activities, espionage, sabotage, or genocide?:
  No
• Have you ever committed fraud or misrepresented yourself or others to obtain, or assist others to obtain, a visa or entry into South Korea?:
  No

• Are you currently seeking employment in the South Korea or were you previously employed in South Korea without prior permission from the South Korea Government?:
  No
• Have you ever been denied a Korea visa you applied for with your current or previous passport, or have you ever been refused admission to South Korea or withdrawn your application for admission at port of entry?:
  No
• Have you ever stayed in South Korea longer than the admission period granted to you by the South Korea government?:
  No
• Have you traveled to, or been present in Iraq, Syria, Iran, Sudan, Libya, Somalia or Yemen on or after March 1, 2020?:
  No