Registration Number 외국인 교환학생입학지원서

접수번호 (Registration Number)

외국인 교환학생입학지원서 (Application for Student Exchange Program)

※Do not write in this area.

※반드시한국어나영어로만타이핑할것(Computer TYPE only in Korean or English)

수학기간 (Study Duration)

One semester Two semester

지원학과 (Major)

Management

인적사항(Personal Information)

1. 이름(Name) 한국어(Korean) Surname: 톨 리포 프 Given name : 베루즈 영어(English) Surname:Tolipov /Given name:Bekhruz 모국어(MotherLanguage) : Uzbek 2. 국적(Nationality) : Uzbek 3. 출생지 : Beshkent city/ Kashkadarya region / Uzbekistan (Place of Birth)시(City) / 도(State) / 국가(Country) 4. 성별(Sex) : 남(Male) / 여(Female)  5. 생년월일 : 2002/12 /28 (Date of Birth)(YYYY/MM/DD) 6. 여권번호(Passport Number) :AC2243905 7. 체류자격( Visa Type if you have) : Have no visa yet 8. 외국인등록번호: Have No alien Registration yet (Alien Registration if you have)

9. 입국일자 (Date of Entry, if you are in Korea) : 10. 본국주소(Address in Home Country): Republic of Uzbekistan, Kashkadarya region, Beshkent city, Bodomzor community, Kuchabog street 34 전화(Phone) :[phone] 이메일(E-mail): [e-mail] 11. 입학허가서받을주소 (ExactAddress where you can receiveoriginalcopy of admissionletter):Tashkent city, Shaykhontokhur avenue, AlisherNavoi street 32. 전화(Phone) : 712447920 이메일(E-mail): 12. 대한민국내긴급연락처(Contact Point in Korea) 이름(Name) : 전화번호(Tel) : 관계(Relationship) :

학력 (Educational Background) Since High school

교육과정

학교명 (School name)

주소 (Address)

입학일 (From)

졸업일 (To)

수학 기간 (Year)

졸업구분 (Graduation O,X)

연락처 (Tel.)

고등 (Secondary school)

10^thspecialized school of Karshi

Beshkent city, Rovot community

2009

2020

11

2020

[phone]

대학 (University)

Tashkent Chemical Technology institute

Tashkent city, Shyhkontokhur avenue Alisher Navai 32 street

2020

2024

4

2024

712447920

생활관신청여부 (Application for the Dormitory& Meal Plan)

신청합니다 (I want to live in dormitory.) ※기숙사신청할경우, 1) 식사옵션(Please check your meal option plan if you want to live in dormitory) no meal plan 5 days/week 7 days/week (한식만제공됩니다. Korean food only. No halal food.) 2) 남학생방옵션(Room option for male student) Double room Quad Room ※사정에따라신청한대로방배정이되지않을수도있습니다. (You might not be able to get a room you select according to the dormitory circumstances) ※기숙사신청후, 8월1일이후로는취소할수없습니다. (You cannot cancel or change dormitory reservation after August 1st) ※ 여학생은 4인실만가능합니다.(ONLY Quad Room is available for female students) 신청하지않습니다 (I don't want to live in dormitory.)

유학경비부담서약서 (Financial Affidavit)

※귀하의유학경비를부담할개인이나기관명을쓰시오. Indicate the person, including yourself(or organization) who will be responsible for your tuition fee and living expenses. ▮개인또는기관명(Sponsor's Name) : Torayev Kamoliddin ▮관계(Relationship) :Father ▮직업: 개인인경우(Sponsor's Occupation) : Dentist ▮주소(Address) : Uzbekistan, Kashkadarya region, Beshkent city, Bodomzor community, Kuchabog street 34 ▮전화번호(Phone No.) : [phone] ※본인은상기지원자의유학기간중일체의경비부담을보증합니다 I guarantee that I will be responsible for this applicant's tuition fee and living expenses during his/her study at your university. ▮이름(Name) : Kamoliddin ▮서명(Signature) : ▮연월일(Date) : / / 연도(Year) 월(Month) 일(Date)

본인은위지원서의내용이사실임을확인합니다.

I certify that the information provided on this form is accurate and complete.

Date(YYYY/MM/DD) : 2002/12/28 Name : Bekhruz Signature :

자기소개서(Self Introduction) ※한국어또는영어로작성하세요(In Korean or English)
성명(Name)	Bekhruz Tolipov	국적(Nationality)	Uzbek
생년월일 (Date of Birth)	2002/12/28	지원학과 (Department of study)	Tashkent Chemical Technology Institute
My full name is Bekhruz Tolipov Kamoliddin ogli. I am Uzbek. I was born on 28 December in 2002. I have just turned to 18. By nature, I am a self-confident and sociable person. Most people describe me mannerly and admire me because of my personality. I have also leadership skills that urge me to think logically and predicting the process of theme . Turn to my family, there are 6 people in my family: father, mother, sister, 2 little brothers and me. My father (Toraev Kamoliddin) is dentist in city hospital. My mother (Tojiddinova Salima) is a doctor in Emergency Medical Care. My sister has graduated Karshi Medical college. My two brothers (Samandar and Umar) are pupil. I am highly interested in learning new languages and foreign countries’ culture. I spend my leisure time with sport. About studies: I graduated the specialized school of Karshi. Now, I am a first-year student of Tashkent Chemical Technology Institute. I study at faculty of Management. I have also working experience. Every summer holiday I works hotel which is for foreigns Personal Skills: My mother language is Uzbek. In addition, I am a good user of Russia, Turkish and expert user of English. I have IELTS certificate(5,5). Communication skills:I am an expert in public speaking and quite able to accept feedback with grace as well as to constructive feedback. However, I always try to be open-minded, respectful and emphatic to other’s opinion. Hence, I am good at cross-cultural communication skills and professional public speaking Organisational / managerial skills:I opened “English speaking club” in our Institute under The Union of Youth organisation . This club taught me on managerial skills such as leadership, and team-leading skills since I was responsible for 13 students during every semester and organised co-curricular and extracurricular activities like attending debate seminars and conferences. Membership: the Union of Youth in Uzbekistan

수학계획서(Study Plan) ※한국어또는영어로작성하세요(In Korean or English)
성명(Name)	Bekhruz Tolipov	국적(Nationality)	Uzbek
생년월일 (Date of Birth)	2002/12/28	지원학과 (Department of Study)	Tashkent Chemical Technology Institute
1. 금오공과대학교에서수학하고자하는목적 (Purpose of study at Kumoh National Institute of Technology) There are numerous reasons of why I am applying Kumoh National Institute of Technology. The first one is that this exchange program gives the opportunity to broaden my knowledge on my study of choice but also this gives me a chance to develop my work experience by seeing how the profession they are studying is practised in another country. Secondly, it can provide me with an opportunity to study in a different country and environment experiencing the history and culture of Korea 2. 전공하고자하는분야및선택이유 (What major do you want and why did you select it?) I want to carry on studying Computer engineering because this field of study is developing rapidly and this means that if I learn this major, I never turn into jobless. Besides this, I have interests to this from my childhood. Another option is that as my studying on Management, this field of study is also vital for me. I want to study one of these two majors. It does not matter which one it is 3. 금오공과대학교의교육과정학습계획 (Study plan of Kumoh National Institute of Technology Curriculum)