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  Consul`s Checklist for E-2 Applicant
 Writer :    Date : 2007-12-04  Hit : 492
This form is to check the qualifications of the native teacher who applied for E-2 Visa. Please correctly and truthfully answer the following questions.

1. Personal Data
1) NAME IN FULL(As in Passport)

2) DATE OF BIRTH

3) NATIONALITY

4) SEX
M. ¡à , F. ¡à
5) PASSPORT NUMBER

6) PHONE NUMBER

7) HOME ADDRESS



2. Immigration Data
8) Have you ever obtained E-2 Visa before? Yes ¡à , No ¡à
9) Have you ever been punished for the violation of the Immigration Law of Korea? Yes ¡à , No ¡à


3. Employment Data
10) Employer Information
a. Name of Contracted Agency / Academy : ( )
b. Name of Employer : ( )
c. Phone Number in Korea : ( )
d. Address in Korea : ( )


4. Academic Career
11) Is Your College / University of graduation been authorized by the Government? And, are the Degrees officially certified? ¡à Yes ¡à No
If yes, please answer a.~d. below.
a. College / University of graduation : ( )
b. College / University Address : ( )
c. College / University Home Page : ( )
d. College / University Phone No. : ( )
12) Do you agree to confirm your academic career? ¡à Yes ¡à No
If yes, Fill in the following blanks to confirm your academic career.
a. Date of Entrance : ( ), b. Date of Graduation: ( )
c. Degree Name : ( )
d. Major : ( ), e. Study Period : ( Years)

5. Criminal Record
13) Have you ever been arrested OR convicted in your country OR foreign country for the violation of laws? Yes ¡à , No ¡à


6. Medical Record
14) Do you have OR Have you had any Infectious Diseases which threaten Public Health?
Yes ¡à , No ¡à
15) Do you have any serious mental disorder? OR Did you have any?
Yes ¡à , No ¡à
16) Have you ever taken any Narcotic (Drug) OR Have you ever been addicted to alcohol?
Yes ¡à , No ¡à
17) Are OR were you HIV (AIDS) positive?
Yes ¡à , No ¡à


7. Consul's Additional Question