UNIST Development Fund Donation Application Form

1. Donor Information

Name (Organization, representative)			Resident (Corporate) Registration Number
Relationship to UNIST	✼Alumni	School			Year of graduation:
	✼Parent	Name of student:	College:		Year of entrance:
	✼Faculty	Department:	Title:
	✼Other
Occupation	Name of occupation:		Department :		Title:
Address (Recipient of mail)	□□□-□□□
Contact	Home: Cell phone:			Occupation: E-mail:

2. Details of Pledge

Amount	KRW
Donation Type	□ Cash □ Real Estate Property □ Securities □ Other ( )
Use of Donation	□ For general development fund (UNIST is entrusted for its use.) □ For specific development fund (The donor can choose specific school and research centers for which his/her donation shall be used.) □ Other
Method of donation	□ One-time payment Date of Deposit:(MM/DD/YYYY) □ Installments Amount: KRW /Month Period: From MM/YYYY to MM/YYYY ( Months)
	□ Salary deduction (for staff only) Amount: KRW /Month Period □ From MM/YYYY to MM/YYYY ( Months) □ From MM/YYYY to retirement

* Account No. : Kyungnam Bank 540-32-0001278 / Account holder's name: Ulsan National Institute of Science and technology (UNIST) After making a deposit, please make sure to let us know of your donation via phone or fax.

I hereby pledge to contribute to the UNIST development fund as stated above.

Signature                                                      Date

Contact Information : Ulsan National Institute of Science and Technology Tel: +82-52-217-1227 Fax: +82-52-217-1229 Email: unist-gift@unist.ac.kr