• 사람얼굴아이콘
  • Welcome Student
Insurance Application
Essential Application
Enter your English name as same as passport.
Enter your birthday and year.
Select your gender. (Male / Female)
Do you have Alien registration number?
-
Enter your passport number and the date of expiry.
*Passport number *The date of expiry
basic information
Select the insurance period.

Enter your student number.
Enter your course(class).
Enter your nationality.
Enter your E-mail address. @
Do you have a cellphone number in Korea? - -
Do you have bank account in Korea?
Duty of notification
Did you get any treatment from hospital in Korea?
if you got, what is the reason that you go to hospital?

"You cannot get the payment of medical treatment in the past."
Did you have any disease in the past?
If you have, what kind of disease did you have?

If you have, what kind of disease did you have?

Personal Data Processing Agreement For Applying
Password Password Confirm
* Please enter your password with 6 digits.

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