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踰� 臾� 遺�
MINISTRY OF JUSTICE
�옱�엯援��뿀媛�湲곌컙�뿰�옣�뿀媛��떊泥��꽌
APPLICATION FOR PERMISSION TO
EXTEND REENTRY PERMIT
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�뼞 蹂� �닔, MULTIPLE
�꽦
Surname
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Nationality
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Sex
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Given Names
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Date of Birth
. . .
Year Month Day
吏� �옣 紐�
Place of Employment
吏� �쐞
Position
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Address in Korea
�뿬 沅� 踰� �샇
Passport No.
�뿬沅뚯쑀�슚湲곌컙
Passport Validity
�옱�엯援��뿀媛�踰덊샇
Reentry Permit No.
�뿀 媛� �씪
Date of Permit
�쑀�슚湲고븳
Date of Expiration
�뿰�옣�떊泥�湲곌컙
Intended Period of
Extension
�뿰�옣�떊泥��궗�쑀
Reason for Application
�룞諛섏옄
Dependent
�꽦 紐�
Name in full
�깮�뀈�썡�씪
Date of Birth
�꽦蹂�
Sex
�궓 M
�꽦蹂�
Sex
�궓 M
�꽦蹂�
Sex
�궓 M
�뿬 F
�뿬���(�깮�왂)
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