Signed Consent Form (학위조회요청서)

By signing this form, I am giving my agreement and hereby authorize the NABO(National Assembly Budget Office of Republic 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
Doctorate 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

	1 Uisadang-ro, Yeongdeungpo-gu, Seoul, 07233, Korea

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 NABO for any questions. Thank you for your assistance.

※ 미국, 캐나다, 영국, 아일랜드, 호주, 뉴질랜드, 네덜란드, 독일, 대만, 스웨덴, 남아프리카공화국(영어권) 이외 국가의 학위취득의 경우 당해 요청서를 작성하여 주시기 바랍니다. (굵은 선 박스 안 내용만 작성)