USE OF A REPRESENTATIVE
CONSULATE GENERAL OF THE REPUBLIC OF KOREA IN VANCOUVER
#1600-1090 WEST GEORGIA ST. VANCOUVER, BC V6E3V7
IMPORTANT NOTE: Appointment of a representative must be notified to us at the time of visa application. Only the original signed forms will be accepted. You do not need to hire a representative.
No one can guarantee the approval of your application. All the forms and information that you need to apply are available for free on our our website:https://overseas.mofa.go.kr/ca-vancouver-en/index.do
PART I: VISA APPLICANT
Full Name (Surname, given name): ________________, ____________________
Date of Birth (YYYY/MM/DD): ________/_________/_________
I, ___________________________, hereby authorize the following person to submit and collect my passport and other required visa documents to the Consulate General of the Republic of Korea in Vancouver on my behalf. This authorization is in accordance with my Privacy Act. I declare that the information I have given is truthful, complete, and correct.
Signature: __________________________
Date (YYYY/MM/DD): ________/_________/_________
PART II: REPRESENTATIVE
Full Name (Surname, given name): ________________, ____________________
Date of Birth (YYYY/MM/DD): ________/_________/_________
Address: ______________________________________________________________
Relationship: ______________________________
Phone Number: ______________________ (CELL) /______________________(HOME/WORK) DRIVER LICENSE # or PASSPORT #:: ______________________
(Please attach a copy of I.D Provided with this form)
I, __________________________, declare that the information I have given is truthful, complete, and correct. I understand and accept that I am the person appointed by the above applicant to conduct his/her visa procedure as designated above on the applicant’s behalf within the Consulate General of the Republic of Korea.
Signature: __________________________
Date (YYYY/MM/DD): ________/_________/_________
