[별지 제24호의4서식] <신설 2010.11.16>
自動出入國審査 登錄申請書(外國人用) REGISTRATION APPLICATION FOR THE AUTOMATED GATES
접수번호	접수일자	처리일자	처리기간
姓 名 Full Name	姓 Surname	漢字姓名	姓 別 Gender	[ ]男 M [ ]女 F
名 Given names
外國人登錄番號 Alien Registration No.	國 籍 Nationality
韓國內 住所 Address in Korea	電話番號 Phone No.
勤 務 處 Work Place	職 位 Position
旅 券 事 項 On Passport	旅券番號 Passport No.	發給日 Issued Date	滿了日 Expiry Date
	. . .	. . .
滯 留 事 項 On Stay Permit	滯留資格 Status of Stay	滯留期間 滿了日 Period of Stay	複數再入國許可期間 滿了日 Re-entry Permit Expiry Date
	. . .	. . .
個人情報 Bio-metrics Information	[ ] 指紋(左右) Fingerprint [ ] 顔面 Facial Image
本人은 自動出入國審査 서비스를 利用하기 위하여 登錄한 指紋 및 顔面情報의 活用에 同意합니다. I hereby agree that the above-mentioned information on fingerprinting and face registered to use the automated gates should be available for Immigration Clearance.
年(yy) 月(mm) 日(dd)장
	申請人 Applicant		(署名/印) (signature/seal)
◯◯ 出入國管理事務所(出張所)長 貴下 TO : CHIEF, ◯◯ IMMIGRATION OFFICE(BRANCH OFFICE)
公用欄 FOR OFFICIAL USE ONLY
등록요건 확인 및 전산처리 필	급 성명	확인자
210㎜×297㎜[일반용지 60g/㎡]