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application for change of workplace
grey section is for office use onl(front page)
*application
date
application number
authorized department
*prior approval
head
section chief
division chief
assigned officer
¡Ø please check the appropriate box [ ].
¨ç applicant information
name (in english):
alien registration no.(passport no.):
nationality:
contact information
residential address in korea:
mobile phone no.(or a phone number where you can be reached):
¨è reason for change of workplace
[ ] expiration of labor contract [ ] termination of labor contract
[ ] the reasons that are officially announced by the minister of employment and labor, such as temporary shutdown or closure of business, employment permit cancellations and employment restrictions
[ ] injuries
¨é preferred conditions of employment
order of
preference
type of business (code)
type of work task (code)
1
2
3
business
location
1.( ) city¤ýprovince ( ) gun¤ýgu (county)
2.( ) city¤ýprovince ( ) gun¤ýgu (county) [ ] regardless
desired salarbasic monthly salary of ( ) or more
other preferred working conditions (duration of the employment, work hours, etc.)
i hereby certify that the above information is correct pursuant to article 25, paragraph 1 of the act on foreign workers employment, etc.and article 16, paragraph 1 of the enforcement regulations of the same act.
(yy/mm/dd)
applicant
(signature)
this application is made to the head of oo regional employment and labor administration
submission by applicant
copy of passport (if the applicant¡¯s alien registration cannot be verified as stipulated in article 88 of the immigration control act.)
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verification by auth