Is it your place of residence or work? (circle one) RESIDENCE WORK Phone number

Additional Contact Information for Applicants with Visa Eligibility Certificate

If you have received a Visa Eligibility Certificate, you can fill out the abbreviated Visa Application (2-page) rather than the full 5-page Visa Application. Please provide the additional information below that is not on the abbreviated 1-page application.

1. Name (as it appears on your passport; last name(s) first followed by first & middle name(s):

_______________________________________________________

2. Address and phone number in Korea:

If you have not been provided with the address and phone number yet (or do not have it finalized yet), you may write the full address and phone number of your workplace instead.

Is it your place of residence or work? (circle one) RESIDENCE WORK Phone number:

_____________________________________

Address (including unit & postal code):

* Please write in Korean if you can or print clearly in block letters in English.