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APPLICATION FOR REISSUANCE OF DOMESTIC RESIDENCE REPORT CERTIFICATE
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Surname
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Sex
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Given Names
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Date of Birth
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Year Month Day
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Nationality
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Overseas Address
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Occupation
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Residence in Korea
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Date of Entry
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Passport No.
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Period of Sojourn
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Date of Expiration
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Reason for Reissuance
Application
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Date of Application . . . Reporter Signature
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