The University of Suwon

17, Wauan-gil, Bongdam-eup, Hwaseong-si, Gyeonggi-do, Korea

TEL : 82-31-220-2251       FAX : 82-31-220-2311

Agreement for Release of Information Form

By making application for admission to Graduate School of Suwon University, I hereby authorize administrator or other persons to confer with others to verify my credentials and qualifications.

I release any and all liability from all organizations or individuals who act in good faith and without malice to provide the information below.

I consent to the release by any person to other institutions of all information that may be relevant to an evaluation of my credentials and qualifications.

1. Applicant Information
Name [이름]	漢字姓名 (Only Chinese & Japanese)
Date of Birth (mm/dd/yyyy) [생년월일]	Sex [성별] □ Male □ Female
2. Academic Information
Name of University you graduated [학교명]	Degree you achieved (or expected to achieve) [학위종류] □ Bachelor □ Master
Department [학과]	Major [전공]
Address of University you graduated [학교주소]
Telephone & Fax of the University [전화&팩스] Tel : Fax :
Website of the University [학교 홈페이지] http://	Student ID Number [학번]
Date of Entrance [입학일]	Date of (expected) Graduation [졸업(예정)일]

(Year/년)        (Month/월)         (Day/일)

Name                                        Signature