[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			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 60. 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 (학업계획서)

Credits earned & Thesis/Dissertation While in School

Credits earned (이수학점)		Credit Hours Needed for Graduation (졸업을 위해 더 이수해야 하는 학점)

(Please, write in detail.)

DATE :             (MM/DD/YY)

Applicant :             (Signature)

Schedule & Study Plan for Graduation

[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.

울산과학기술원 재입학 신청 접수를 위한

개인정보 수집·이용 사항 고지

(Notice of Collection and Use of Personal Information)

울산과학기술원 학사팀은 학사과정 재입학 원서접수를 위하여 다음과 같이 개인정보를 수집·이용합니다.

(UNIST, while implementing undergraduate course readmission process and receiving readmission application, would collect and use personal information of applicants.)

■ 개인정보 수집·이용 사항 고지 (Notice on personal data collecting and use)

개인정보보호법 제15조 제1항 제2호에 따라 정보주체의 동의 없이 개인정보를 수집·이용합니다.

(Personal data is collected and used without your consent, pursuant to the Article 15, Paragraph 1), Subparagraph 2), of the Personal Data Protection Act.)

개인정보 처리목적 (Purpose(s) of Collection and Use)	개인정보 항목 (Items to be collected)	수집 근거 (A ground law)	보유·이용기간 (Period of Retention and Use)
재입학 업무 처리 (Readmission)	소속, 성명, 학번, 학년, 주소, 생년월일, 연락처, E-mail, 입학년월일, 제적정보, 성적 및 등록정보, 학업계획 (College/Dept, Major, Student ID, Name of Applicant, Year, Current Address, E-mail, Date of Birth, Mobile Phone, Date of Admission, Student Record Information(Dismissal, Grade, Enrollment), Academic Plan	「고등교육법시행령」제29조의2 (The Article 29-2, Higher Education Enforcement Decree)	재입학서류: 10년 학적기록: 준영구 (Application Documents: 10 years Student Record: semi-permanent)

위 개인정보 수집·이용 사항을 확인하였습니다.

(I confirm the notice of collection and use of personal information above.)

신청일(Year/Month/Date) :      년      월      일

정보주체 이름(Applicant's Name):            (인)(Signature)