(서식 10)

외국인 자기소개서(PERSONAL QUESTIONNAIRE)

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* THIS INFORMATION IS ONLY FOR OFFICIAL USE												【PHOTO】 (3cm x 4cm)
Full Name	Last/First/Middle			Date of Birth				Month/day/year
Nationality (Include any dual nationality)				Place of Birth				City/Country
Alien Registration Number				Date & Place You Entered Korea				Month/Day/Year				City/Country
Address								Gender
Work Place				Job/Position
Telephone Number (Include Area Code)	Home :			Work :				Mobile :
Blood Type		Height	cm		Weight		kg		Hair Color				Eye Color
Education	Name of School			Period (MM/YY- MM/YY)		Degree/ Diploma				Month/Year Awarded				Location (Street Address & City/Country)

(서식 10)	(2 page)

Employment Activities	Employer / Verifier Name		Previous Period (MM/YY-MM/YY)		Job/Position			Location (Street Address & City/Country)
Family	Relation	Full Name Last/First/Middle		Date of Birth		Education	Occupation		Address
Relatives & Associates in Korea	Relation	Full Name Last/First/Middle		Dates Known (MM/YY-MM/YY)		Occupation	Title		Telephone Number
I understand that this form may be submitted for checking against the records of police, security and credit agencies in accordance with security policy. I declare that information I have given is true and complete to the best of my knowledge and belief. I understand that any false statement or deliberate omission in the information I have given in this questionnaire may disqualify me for employment or make me liable to disciplinary action which may include dismissal. Date : Signature :

(서식 11)

외국인 각서

(THE PERSONAL COVENANT ON LIABILITY)

연번 (no.)	성명 (name)	여권번호 (passport no.)	소속(직위) 및 주소 [employer(orders) & address]	서명 (signature)	비고 (note)
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1. All the visitors or trainees who come to KHNP's Facilities are obliged to preserve facilities and not to reveal any information on KHNP's Facilities  including security conditions to any person or organization at any time.

2. I hereby undertake not to disclose any confidential information which may come to my knowledge in connection with the KHNP, including any commercial, technological or industrial secrets/confidentiality to which I have had access in the course of my visit and/or training, at any time, to any person, Government or organization not authorized to receive such information.

3. I also undertake that I shall:

(a) follow the KHNP's procedures for the safekeeping, handling and release of any such information;

(b) not use such information, both within and outside the KHNP, to the  execution of any official duties without the authorization of KHNP;

(c) refrain from any unauthorized use of such information to my private advantage or to that of any third party.

4. I shall not use, disclose or disseminate any of the information referred to in paragraphs above. I also undertake to take no action that may lead to such information being disclosed or exploited to the detriment of the KHNP.

5. I understand;

that a breach of any obligation not to disclose confidential information without appropriate authorization, including this undertaking, may result in the initiation of legal proceedings against me, at any time.

(서식 13) 외국인 개인정보동의서

Agreement on Collection, Use and Provision of Personal Information

(For access to the facilities of KHNP)

For access control to the facilities of KHNP, Every facility of KHNP is required to obtain applicant’s consent to collect, use and provide information contained in the entry form by Act on Personal Information Protection.

□ Matters regarding collection and use

◇ Purpose : To control access, prevent security incidents and terrorism and  understand detail in case of incidents and/or accidents.

◇ Items of Collected and used information : All personal information such as access records, fingerprints, etc. in the entry form.

◇ Retention and use period : Ten years after the consent is granted.

□ Matters regarding provision

◇ Parties to be provided with the personal information : Government agencies with authority to inspect access control of KHNP.

(The Board of Audit and Inspection, National Intelligence Service, National Police Agency, Nuclear Safety and Security Commission and its affiliated organizations,  Etc.)

◇ Purpose of use by the above party : To check the adequacy of access control and understand details when incident or accident occurs.

◇ Items of personal information to provide : All access records

◇ Retention and use period by the party provided : From the day of provision until the purpose of provision is achieved.

□ Right to refuse consent and disadvantage when consent is refused

◇ An access applicant has the right to refuse consent to collect, use and provide personal information.

◇ But the consent to collection, provision and use of personal information as indicated above is a mandatory requirement to access the facilities of KHNP. The procedures can commence only when consent is granted.

I fully understand this agreement and grant the consent to collect, use and provide my personal information to KHNP as above.

(MM) / (DD) / (YYYY)

Name :                       (Signature or seal)