이름: 성: 태어난 나라: Bulgaria Czech Republic Hungary China Kazakhstan Lithuania Moldova, Republic of Poland Romania Russian Federation Serbia Slovakia Thailand Turkey Ukraine United Kingdom United States Viet Nam Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia, Plurinational State of Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Curacao Cyprus Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Chad Chile Christmas Island Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Luxembourg Macao Macedonia, the former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Portugal Puerto Rico Qatar Reunion Rwanda Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkmenistan Turks and Caicos Islands Tuvalu Uganda United Arab Emirates United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe E-mail: 전화번호: 휴대폰 번호 자택 전화번호 Tax country: Austria Belgium Canada Germany Ireland Italy Netherlands New Zealand United States Albania Andorra Bahrain Belarus Bosnia and Herzegovina Brazil Bulgaria Croatia Cyprus Denmark Dominican Republic Estonia Finland France Gibraltar Greece Guernsey Holy See (Vatican City State) Hong Kong Hungary Chile China Iceland Isle of Man Israel Japan Jersey Jordan Korea, Republic of Latvia Liechtenstein Lithuania Luxembourg Macao Macedonia, the former Yugoslav Republic of Malta Marshall Islands Mexico Monaco Norway Poland Portugal Qatar Romania Russian Federation San Marino Saudi Arabia Serbia Singapore Slovakia Slovenia South Africa Spain Sweden Switzerland Thailand Turkey Ukraine United Arab Emirates 입국 월 (세금징수 국가 기준): 1월, 2012 2월, 2012 3월, 2012 4월, 2012 5월, 2012 6월, 2012 7월, 2012 8월, 2012 9월, 2012 10월, 2012 11월, 2012 12월, 2012 1월, 2011 2월, 2011 3월, 2011 4월, 2011 5월, 2011 6월, 2011 7월, 2011 8월, 2011 9월, 2011 10월, 2011 11월, 2011 12월, 2011 1월, 2010 2월, 2010 3월, 2010 4월, 2010 5월, 2010 6월, 2010 7월, 2010 8월, 2010 9월, 2010 10월, 2010 11월, 2010 12월, 2010 1월, 2009 2월, 2009 3월, 2009 4월, 2009 5월, 2009 6월, 2009 7월, 2009 8월, 2009 9월, 2009 10월, 2009 11월, 2009 12월, 2009 1월, 2008 2월, 2008 3월, 2008 4월, 2008 5월, 2008 6월, 2008 7월, 2008 8월, 2008 9월, 2008 10월, 2008 11월, 2008 12월, 2008 1월, 2007 2월, 2007 3월, 2007 4월, 2007 5월, 2007 6월, 2007 7월, 2007 8월, 2007 9월, 2007 10월, 2007 11월, 2007 12월, 2007 1월, 2006 2월, 2006 3월, 2006 4월, 2006 5월, 2006 6월, 2006 7월, 2006 8월, 2006 9월, 2006 10월, 2006 11월, 2006 12월, 2006 1월, 2005 2월, 2005 3월, 2005 4월, 2005 5월, 2005 6월, 2005 7월, 2005 8월, 2005 9월, 2005 10월, 2005 11월, 2005 12월, 2005 1월, 2004 2월, 2004 3월, 2004 4월, 2004 5월, 2004 6월, 2004 7월, 2004 8월, 2004 9월, 2004 10월, 2004 11월, 2004 12월, 2004 1월, 2003 2월, 2003 3월, 2003 4월, 2003 5월, 2003 6월, 2003 7월, 2003 8월, 2003 9월, 2003 10월, 2003 11월, 2003 12월, 2003 1월, 2002 2월, 2002 3월, 2002 4월, 2002 5월, 2002 6월, 2002 7월, 2002 8월, 2002 9월, 2002 10월, 2002 11월, 2002 12월, 2002 출국 월 (세금징수 국가 기준): 1월, 2012 2월, 2012 3월, 2012 4월, 2012 5월, 2012 6월, 2012 7월, 2012 8월, 2012 9월, 2012 10월, 2012 11월, 2012 12월, 2012 1월, 2011 2월, 2011 3월, 2011 4월, 2011 5월, 2011 6월, 2011 7월, 2011 8월, 2011 9월, 2011 10월, 2011 11월, 2011 12월, 2011 1월, 2010 2월, 2010 3월, 2010 4월, 2010 5월, 2010 6월, 2010 7월, 2010 8월, 2010 9월, 2010 10월, 2010 11월, 2010 12월, 2010 1월, 2009 2월, 2009 3월, 2009 4월, 2009 5월, 2009 6월, 2009 7월, 2009 8월, 2009 9월, 2009 10월, 2009 11월, 2009 12월, 2009 1월, 2008 2월, 2008 3월, 2008 4월, 2008 5월, 2008 6월, 2008 7월, 2008 8월, 2008 9월, 2008 10월, 2008 11월, 2008 12월, 2008 1월, 2007 2월, 2007 3월, 2007 4월, 2007 5월, 2007 6월, 2007 7월, 2007 8월, 2007 9월, 2007 10월, 2007 11월, 2007 12월, 2007 1월, 2006 2월, 2006 3월, 2006 4월, 2006 5월, 2006 6월, 2006 7월, 2006 8월, 2006 9월, 2006 10월, 2006 11월, 2006 12월, 2006 1월, 2005 2월, 2005 3월, 2005 4월, 2005 5월, 2005 6월, 2005 7월, 2005 8월, 2005 9월, 2005 10월, 2005 11월, 2005 12월, 2005 1월, 2004 2월, 2004 3월, 2004 4월, 2004 5월, 2004 6월, 2004 7월, 2004 8월, 2004 9월, 2004 10월, 2004 11월, 2004 12월, 2004 1월, 2003 2월, 2003 3월, 2003 4월, 2003 5월, 2003 6월, 2003 7월, 2003 8월, 2003 9월, 2003 10월, 2003 11월, 2003 12월, 2003 1월, 2002 2월, 2002 3월, 2002 4월, 2002 5월, 2002 6월, 2002 7월, 2002 8월, 2002 9월, 2002 10월, 2002 11월, 2002 12월, 2002 Can we contact you in English?: 아니오 예 *Note: 굵게 칠해진 부분은 반드시 작성해주세요.