9. Course Completion Certification Request Form
π️ KING SEJONG LANGUAGE TRAINING CENTER
COURSE COMPLETION CERTIFICATION REQUEST FORM
CENTER INFORMATION
π️ SEJONG CENTER
π Location:
175 Sejong-daero (Sejongno) Jongno-gu, Seoul 110-821 KOREA
π’ Business Registration: 101-82-06773μΈμ’ λ¬Έννκ΄
π§ Email: conntact@siteprofree.email
Request No: _____________ Date: ____________________
1. STUDENT INFORMATION
Full Name: ________________________________ _________________________________ (Family Name) (Given Name)
Name in Hangul (if applicable): ________________________________________
Student ID: _________________________
Gender: □ Male □ Female Date of Birth: //______ (DD) (MM) (YYYY)
Nationality: _____________________________ Passport No: ____________________
Contact Information: Mobile Phone: ________________________ Email: _________________________ WhatsApp: ___________________________ KakaoTalk ID: __________________
Current Address: __________________________________________________________ __________________________________________________________
2. COURSE DETAILS
Program Completed: □ General Korean Language Program □ Business Korean Program □ Academic Korean Program □ Cultural Integration Program □ Industry-Specific Training □ Other: ___________________________________________________________
Level(s) Completed: □ Level 1 (Beginner) □ Level 2 (Elementary) □ Level 3 (Intermediate) □ Level 4 (Advanced) □ Multiple Levels (Specify): _________________________________________
Study Period: Start Date: //____ End Date: //____
Final Grade/Score: __________________________________________________ Attendance Rate: __________________________________________________
3. CERTIFICATION REQUEST
Type of Certificate Required: □ Course Completion Certificate □ Academic Transcript □ Attendance Certificate □ Grade Certificate □ Level Achievement Certificate □ Comprehensive Study Record □ Other: ___________________________________________________________
Number of Copies Required: __________
Language of Certificate: □ Korean □ English □ Both Korean and English □ Other: ___________________________________________________________
Purpose of Certificate: □ Further Education □ Employment □ Visa Application □ Personal Records □ Other: ___________________________________________________________
4. DELIVERY METHOD
Preferred Method of Delivery: □ Pick up in person □ Registered Mail (Domestic) □ International Courier □ Digital Copy (PDF) □ Other: ___________________________________________________________
Mailing Address (if different from current address):
5. URGENT REQUEST
Is this an urgent request? □ Yes □ No
If yes, reason for urgency:
Required by Date: //____
6. PAYMENT INFORMATION
Certificate Fee: Basic Certificate: ________________ Additional Copies: ________________ Express Processing (if applicable): ________________ Shipping Fee (if applicable): ________________ Total Amount: ________________
Payment Method: □ Cash □ Credit Card □ Bank Transfer □ Other: ___________________________________________________________
Payment Status: □ Paid □ Pending Receipt No: ___________________
7. VERIFICATION CONSENT
I authorize King Sejong Language Training Center to: □ Include all academic records in the certificate □ Share my academic information with verified third parties □ Include attendance records □ Include grade information □ Include personal identification information
8. DOCUMENTS REQUIRED
Please submit the following documents: □ Student ID Card Copy □ Photo ID/Passport Copy □ Payment Receipt □ Letter of Authorization (if collected by another person) □ Other: ___________________________________________________________
9. DECLARATION
I, _______________________________, hereby declare that:
- All information provided is true and correct
- I authorize the release of my academic information
- I understand the processing time and fees
- I agree to the terms of certificate issuance
Signature: _________________________ Date: //______ (DD) (MM) (YYYY)
10. THIRD PARTY COLLECTION AUTHORIZATION (If applicable)
I authorize the following person to collect my certificate:
Name: ____________________________________________________________ Relationship: ____________________________________________________ ID Number: ______________________________________________________ Contact Number: __________________________________________________
Signature of Authorized Person: ____________________________________ Date: //____
FOR OFFICE USE ONLY
Request Received by: ________________ Date: //____ Document Check: □ Complete □ Incomplete
Academic Record Verification: Program Completion: □ Verified □ Pending Grades Verification: □ Completed □ Pending Attendance Record: □ Verified □ Pending
Payment Verification: Amount Received: ________________ Receipt No: ________________ Payment Date: //____
Certificate Processing: Processed by: ____________________ Date: //____ Certificate No: __________________ Copies Made: ____________
Delivery/Collection: □ Collected in Person Date: //____ □ Mailed Tracking No: ________________ □ Digital Copy Sent Date: //____
Special Notes: ____________________________________________________
✨ Thank you for requesting your course completion certificate! We will process your request within the standard processing time of 3-5 working days! ✨
π️ SEJONG CENTER
π Location:
175 Sejong-daero (Sejongno) Jongno-gu, Seoul 110-821 KOREA
π’ Business Registration: 101-82-06773μΈμ’ λ¬Έννκ΄
π§ Email: conntact@siteprofree.email
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