Request Type

 □ New

 □ Add

 □ Change

 □ Cancel

1. Personal information

Department

Phone number

Full Name

Occupation

▢ Professor

▢ Researcher

▢ Employee

▢ Administrative Assistant

▢ Research Manager

▢ Undergraduate

▢ Graduate

▢ Post-doc

▢ Intern

▢ Other (                        )

2. Vehicle information

Model

Vehicle 

Registration Number

Registration

Cancel

Types of

Vehicle Fuel

▢ Gasoline  

▢ Diesel

▢ LPG

▢ Eco-friendly vehicle [ ▢Hybrid  ▢Electric  ▢Hydrogen ]

3. In accordance with the “Personal Information Protection Law”, GIST needs your 

agreement for collecting and using personal information. Please check the consent 

table below.

  Ⅰ. Purpose of using personal information of recipients of personal information: Vehicle Registration

  Ⅱ. Collected Items

: Department, Occupation,  Name, Phone number, Model, Vehicle Registration Number

  Ⅲ. Period of Collection: 1 month after Graduation or Retirement

  Ⅳ. Condition of Disagreement

     : Vehicle Registration is not available without agreement. 

This consent will be used only to serve the purpose of stated information.

Personal Information Collection and Usage

  □ Agree

  □ Disagree

Date:    

        .

       .

      .

Name:                               (Signature)

To the President of GIST

Application for Vehicle Registration