If you are a Korean students, please complete the form in Korean
한국인 학생은 한글로 설문을 작성해 주시기 바랍니다.

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* 1. First Name / 名

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* 2. Last Name / 姓

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* 3. Ajou Student I.D.No / 学号

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* 4. Gender / 性别

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* 5. Nationality / 国籍

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* 6. Participating program / 参加项目

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* 7. Home University / 本国大学

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* 8. Current Address(please write city stayed only) / 目前所在城市

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* 9. Email / 电子邮箱

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* 10. Phone number / 手机号

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* 11. SNS ID (Kakao talk / facebook/ line / wechat)

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* 12. Have you visited China after January 12th? / 有没有在1月12日之后访问或居留中国?

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* 13. Arrival date to Korea / 入境韩国日期

Date

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* 14. Do you have any sympton? / 有症状吗?

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