Guidelines on Immigration Records Management and Informatization Work [Form No. 10]
Application for Adding Korean Name in Alien Registration Card (Overseas Korean Resident Card)
Applicant Personal Information		Nationality		Name (In Full)	in English
					in Chinese character
		Date of Birth		Passport No.
		Alien Registration No. (Overseas Korean Resident No.)
		Name in Korean
		Contact Number	telephone:	mobile phone:
			e-mail :
1. Matters to note for Application ① Alien Registration No. (Overseas Korean Resident No.) should ONLY be filled out by those granted with an Alien Registration Number (Overseas Korean Resident Number). ② Name in Korean should be filled out with the Korean Name on your submitted document or with the common Korean pronunciation. 2. Matters to be notified regarding Adding Korean Name ① Change or deletion of Added Korean Name is restricted. ② Your English name in full should be provided in Korean alphabet, and nicknames, fictitious names, etc. are not accepted to be added.
I hereby confirm that I have fully read and understand the note and notification provided to me with regard to Adding Korean Name and I declare that I will comply with the above note and notification. mm dd yyyy Applicant : (Signature/Seal) To. Chief, ○○ Immigration (branch) Office
Attached paper	None					No fee
210mm×297mm[백상지 80g/㎡(재활용품)]