[별지 제13호의2서식] (앞쪽)
Application for Change of Workplace
Registration No.		Counsellor			Photograph (3.5㎝×4.5㎝)
①Name		②Sex
③Nationality		④Birth Date
⑤Date of Entry		⑥Alien Registration No.
⑦Sojourn Status		⑧Expiration Date of Sojourn Status
⑨Contact	Address in Korea	(Phone)
Phone No. in Korea	(E-mail)
Cell Phone No.		⑩Insurance	□ Accident Insurance □ Return Cost Insurance
Preferred Condition of Employment	Order	⑪Choice of Business Type	⑫Choice of Work Type
1
2
3
⑬Choice of Work Area	1. ( )City·Province ( )Gun·Gu (County)	2. ( )City·Province ( )Gun·Gu (County)	Regardless□
⑭Preferred Wage or Payment Type & Amount	More than ( ) won of monthly regular wage
⑮Other Requests (Possible working period, time, etc.)
Education & Experience	⑯Education /Major		⑰License	1
2
⑱Language Fluency	1. Korean High□ Mid□ Low□	2. English High□ Mid□ Low□	3. ( ) High□ Mid□ Low
⑲Experience in Korea	Name of Workplace	Type of Work	Working Period	Average Monthly Wage
		~
		~
⑳Cause of Applying for Workplace Change	□Expiration of Labor Contract Period □Termination of Labor Contract □Suspension or Closing of Business □Cancellation or Limit of Employment Permit □Pregnancy·Injury □Other (Cause : )
Self- Introduction
Work Competency, Preferred Type of Work, Linguistic Skills, etc.
Other
I hereby certify that the above information is correct. (YY/MM/DD) Applicant (signature)	Fee
None
※ Required documents : Copy of passport or alien registration certificate.
210㎜×297㎜(일반용지 60g/㎡(재활용품))

(뒤쪽)
◀Guideline▶ ☞ Please submit passport or alien registration certificate when applying for workplace change. ☞ Should the application be cancelled or changed, after applying for workplace change, please immediately inform the agency to which application form was submitted. ☞ Please fill out the Type of Business and Type of Work by referring to the Code Book for Recruitment, and ask the staff for their assistance should it be needed. ☞ Should a certain information, requested on the workplace change application form, have no relevance to the applicant, then the information does not have to be written on the form. ①English name must be written identically to the name on passport or alien registration certificate. ⑨Telephone number that can be used to contact the applicant must be written as it is important for employment. ⑩According to the Employment Permit System, a foreigner that entered Korea under the EPS must join an accident insurance within 15 days since the labor contract has become effective (for E-9 visa holders within 15 days of entry into Korea), and a return cost insurance within 80 days. ※ Questions on taking out insurance : Job Center (☎ 1588-1919) ※ Application of insurance money → HRD Korea(☎ 02-3271-9437, 4~6 FAX.3271-9439, 9468) ☞ Application form and other forms are provided at the Job Center. ※ This application form is processed as the following.
Applicant					Responsible Agency
					Local Employment and Labor Office
	Fill out application form			(Submit)		▶	Receiving of application
	▲						(Job Center)
							▼
							Confirmation·Examination
							(Job Center)
							▼
		(Recruitment)					Registration·Update on Computer DB
							(Job Center)