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.