2019 PROGRAM APPLICATION FORM

1. 2019 PROGRAM APPLICATION FORM Seoul Human Resource Development Center(SHRDC) Metropolis International Training Institute Headquarters Attach Your Scanned Photo Nambusunhwan-ro 340-gil 58, Seocho-gu, Seoul, Korea Phone: +82-2-3488-2059~2060 Fax: +82-2-3488-2346 Web : http://hrd.seoul.go.kr/shrdc E-mail: shrdcinfo@gmail.com Note: Please type in the form in English alphabets or tick(√ ) “N/A” should be used where applicable. Do not leave any space blank. (Exactly same name used on your passport – This name will be used on your certificate of completion) ※ VISA: I need an invitation letter to apply for entry visa issuance. Yes ( ) / No ( ) Participants may need to obtain an entry visa to the Republic of Korea from the Embassy or Consulate in their respective country before commencing their journey (at least 2 weeks). Participants are responsible for getting their visa. For more information about entry visa to Korea please visit https://www.visa.go.kr/ 2019 PROGRAM APPLICATION FORM

2. Ⅲ. ORGANIZATION INFORMATION & TRAINING EXPERIENCE Training experiences in Korea during last 5 years Yes( ) / No( ) If “Yes,” Please Specify Title and Period of Program : Organized by : Other International Training experiences during last 5 years (not in Korea) Yes( ) / No( ) If “Yes,” Please Specify Title and Period of Program : Organized by : Ⅳ. ENGLISH PROFICIENCY *Please tick(√) the box. 2of 5 2019 PROGRAM APPLICATION FORM

3. V. STATEMENT OF MOTIVATION AND WHAT YOU WANT TO LEARN 3of 5 2019 PROGRAM APPLICATION FORM

4. If accepted as a participant, I agree: • To follow and to prepare the training program to the best of my ability and abide by the rules of the SHRDC during the training program; • To refrain from engaging in political activities, or any form of employment for profit or gain; • To return to my home country upon completion of my training program and to resume work in my city and organization; • To accept that the SHRDC shall reserve the rights for the materials that have been generated & submitted for the training purpose, SHRDC is not liable for any damage or loss of personal property; • To acknowledge that the SHRDC will not assume any responsibility for illness, injury, or death arising from extracurricular activities, willful misconduct, or undisclosed pre-existing medical conditions. • Not to absent or skip training course for any personal matters. Date (dd/mm/yyyy) : Name of Applicant : Signature : 4of 5 2019 PROGRAM APPLICATION FORM

5. Dear President of SHRDC: Upon understanding goals and objectives of your international training program and with the hope of promoting our knowledge and experience exchanges, I hereby recommend the following person as our city’s representative in your program. I guarantee that our applicant will abide by all laws and rules of your city during the program period and will resume his/her job upon completing the course. Applicant’s Profile • Name of Training Program : • Applicant’s Name : • Present Job Title : • Department / Division : • Name of City / Organization : Recommender’s Profile • Recommender’s Name : • Recommender’s Relation to Applicant : • Present Job Title : • Department/Division : • Name of City/Local Government/Organization : • Official Website Address of City/Organization : • Contact Information - Tel : - E-mail : (We may contact you during applicant selection process) Date(dd/mm/yyyy): Signature: 5of 5 2019 PROGRAM APPLICATION FORM