[업무문서] 난민임시상륙허가신청서

[별지 제30호의3 難民臨時上陸許可(延長)申請書 APPLICATION FOR(EXTENSION) TEMPORARY REFUGE LANDING PERMIT 姓 SURNAME 漢字姓名 名 GIVEN NAMES 男 NALE 女 FEMALE 生年月日 DATE OF BIRTH 年 YEAR 月 MONTH 日 DAY 國籍 NATIONALITY 旅券番號 PASSPORT NO. 職種 및 業務名 OCCUPATION 上陸(延長)處理 REASON FOR LANDING(EXTENSION) 上陸(延長)申請其間 PERIOD OF LANDING (EXTENSION) 入港便名 FLIGHT NO./DISEMBARKATION I hereby apply for temporary refuge landing permit, pursuant to the provision of the article 16-2 of the Immigration Law. 申請日 DATE OF APPLICATION 申請人 署名 SIGNATURE OF APPLICANT 公 用 欄 OFFICIAL USE ONLY 許可其間 PERIOD OF PERMIT 居住 DESIGNATED PLLACE OF STAY 行動範圍 AREA OF MOVEMENT 其他 OTHERS 23236-12711 일 182㎜×257㎜ `94.6.1승인 인쇄용지(2급)60g/㎡