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Send Application Form

The application must be submitted at least 1 month before the training starts and within 6 months from the start date.
※ Incomplete documentation will be automatically disqualified.

Scholars Information ※ Please DO NOT put all your name and information in capital letter

Scholars Information
First Name Middle Name
Last Name Nationality
Gender
Date of Birth
Country of Current Organization
Name of your institute/hospital
Address
Occupation
Desired Training Date
~
Department Desired Professor Name
Speciality
Passport Phone Number
Use of Dormitory
※ Dormitory application will be available after approval.
E-mail Fax.
Comment (0/300)

Attachment

Attachment
Application Form
Recommendation Letter
CV/Resume
Certificate of Employment
Copy of Medical License

Only JPG files are allowed.
Copy of Diploma

Only JPG files are allowed.
Copy of Passport

Only JPG files are allowed.
Photo

Only JPG format can be uploaded(white background and 3.5 X 4.5cm size)
Immunization Form

must be completed within 3 months prior to the beginning of training
Copy of Travelers Insurance

Only JPG files are allowed.

Asan Medical Center needs your consent to the collection, use and provision of your private information to a third party as follows in accordance with Article 15, Section 1, No.1, Article 23, Section 1, No.1 and Article 24, Section 1, No.1 of the 「Personal Information Protection Law」.

Personal Information Collection·Use Consent

1. Purpose

Collection of Information for the operation of “Asan Medical Center International Visiting Scholars Program”

2. Collected Information

Personal Information : Name, Nationality, Current Organization, Photo, Address, Contact Details, Date of Birth, Gender, Medical Board License, Certificate of Specialty, CV, Academic Background, Certificate of Employment, Social Security Number

3. Retention Period

5years

4. Right to refuse the consent and disadvantages in case of refusal

You can refuse consent to the provision of the stated items, but please note that you cannot proceed the training program if you do so.

I consent to the collection and use of my personal information as the above.      

Personally Identifiable Information Collection·Use Consent

1. Purpose

Collection of Information for the operation of “Asan Medical Center International Visiting Scholars Program”

2. Collected Information

Personally Identifiable Information : Passport

3. Retention Period

5years

4. Right to refuse the consent and disadvantages in case of refusal

You can refuse consent to the provision of the stated items, but please note that you cannot proceed the training program if you do so.

I consent to the collection and use of my Personally Identifiable Information as the above.      

Sensitive Information Collection·Use Consent

1. Purpose

Collection of Information for the operation of “Asan Medical Center International Visiting Scholars Program”

2. Collected Information

Sensitive Information : Health Status

3. Retention Period

5years

4. Right to refuse the consent and disadvantages in case of refusal

You can refuse consent to the provision of the stated items, but please note that you cannot proceed the training program if you do so.

I consent to the collection and use of my Sensitive Information as the above.      

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