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        | APPLICATION FORM FOR O O O INTERNATIONAL EXCHANGE PROGRAM | 
      
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        | PLEASE TYPE OR PRINT CLEARLY. 
 ■ Personal Information
 
 Family Name
 
 First Name(Given Name)
 
 □ Male □ Female /□ Single □ Married
 
 Date of Birth : Month Day Year
 
 Country of citizenship
 
 street
 City Zip Code
 Telephone
 Fax
 E-Mail Address
 Passport No.
 
 ■ Academic Information
 
 Home Institution
 (Address )
 
 Department you belong to / Years of study
 
 ■ Study Plans
 Selection of Subjects/Semester
 What subjects would you like to take List the subjects below
 APPLICATION FORM FOR OOO INTERNATIONAL EXCHANGE PROGRAM
 I certify that the information on this form is true and
 correct to the best of my konwledge and submit this application for placement in international exchange program.
 
 Student
 Signature Date
 I recommend this person as a student for KAIST
 International Exchange Program.
 
 Name of Student Exchange Coordinator
 
 Signature Date
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