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Application for Re-entry

재  입  학  원

Name

Date of Birth

H.P.

Address

 

 Details of 

Student 

Status

Degree 

Program

Student

No.

Depart

ment

Date of 

Withdrawal

Date of 

Admission

Type 

of 

Student

Government Sponsored □

GIST Sponsored       □

Industry Sponsored    □

Reason for 

Withdrawal

Semesters 

Completed

Units 

Completed

Advisor

 Details of 

Re-entry

Semester of

Re-entry

Department

Advisor

 Reason for Re-entry (Please write in detail)

Pursuant to Article 49 of the Student Regulation, the applicant requests approval for 

re-entry.

Date      .      .      .

Applicant :                       Seal/Signature

Guarantor :                       Seal/Signature

Approved

by

Advisor

Dean/

Dept. Chair

※  Guarantor for industry sponsored student must be a 

representative of the organization concerned.