[UNIST Academic Form 17-1]

Request for Readmission

Name			(Korean) (English)					Birth Date(생년월일)						Photo
Address			Address : Tel.: Cell-phone:
Previous School Records			Study Program		BS/MS/PhD			School			Student ID
			Date of Admission 당초 입학 일자
			Date of Withdrawal․Expulsion 자퇴/제적 일자							Advisor 지도교수
			Reason for Withdrawal․Expulsion 자퇴/제적 사유
Reason(s) for Readmission (재입학 사유) : * Please, write in detail.
This request is submitted for permission of readmission under UNIST School Regulations Article 21. Date: (MM/DD/YY) Applicant: (Signature) Guardian: (Signature)
	Recommender
	Advisor (Name)			School Head
								To the President of UNIST

(재 입 학 원)

※ A guardian is required to obtain parent's signature.

[UNIST Academic Form 17-2]

■ Study Plan

Credits earned & Thesis/Dissertation While in School

Credits earned (이수학점)		Credit Hours Needed for Graduation (졸업을 위해 더 이수해야 하는 학점)
Thesis/Dissertation Plan Comprehensive Exams: Pass ( ) Fail ( ) (MS/PhD Program) Exam on Thesis/Dissertation: Pass ( ) Fail ( ) Submission & Acceptance of articles: Submission ( ) Publication ( ) * You don't need to check this if you are B/S

Schedule & Study Plan for Completing Coursework and Graduation

(Please, write in detail.)

DATE :             (MM/DD/YY)

Applicant :             (Signature)

[UNIST Academic Form 17-3]

Advisor's opinion on Readmission

(재입학 의견서)

(Advisor's opinion)

Date: 　  　　　　　　(MM/DD/YY)

Advisor: 　    　　　　　　　(Signature)

※ Please write your opinion on the student's potential for completing the required coursework after his/her readmission.

※ Please put the form in a sealed envelope, and be sure to write down the date of completing the form.

Agreement of collection and use of personal information<Submission compulsory>

Agreement of collection and use of personal information

UNIST, while implementing 2015-2nd semester readmission process and receiving readmission application, would collect and use personal information of applicants. (Relevant regulation : School Regulation Article 21(Readmission), Academic Regulations Article 54(Readmission)). Based on Privacy protection act Article 15, 17, 23, 24, your consent is compulsory. Please, read carefully contents below and check question of assent and sign your name.

1. Agreement of collection and use of Personal information

Collecting item for personal information	Purpose of collecting and using personal information	Period of having and using personal information
Name, Birth date, Address, Cell-phone number, Previous school records	To distinguish oneself(applicant) and go through contact system for 2015-2nd semester readmission	Semi-permanent

- Question of assent for collecting and use of personal information(Check!)

□ Agree         □ Disagree

2. You have the right for rejecting to provide your personal information. However, when you reject, there can be limitation in applying 2015-2nd semester readmission. (Check!)

□ Agree        □ Disagree

Date(Date/Month/Year) :       /      /      /

Applicant's Name             (Signature)