2025GLOBALKOREASCHOLARSHIP
UndergraduateDegreeProgram
ApplicationChecklist
☐EmbassyTrack(공관전형)☒UniversityTrack(대학전형)
NameofInstitutionReceivingApplication(공관/대학명):___DongseoUniversity_______________________
NameofApplicant(성명):WakodeAnchalAnanda
CountryofCitizenship(국가):India
Checklist (Submission of Documents) Please check (√) in the appropriate box
Type No. Application Documents Note Check
1 (form 1) Application Form
2 (form 2) Personal Statement
Documents to 3 (form 3) Study Plan
Required
complete 4 (form 4) ONE letter of Recommendation
5 (form 5) GKS Applicant Agreement
6 (form 6) Personal Medical Assessment
7 Proof of citizenship (applicant and parents) and proof of family relationship
8 High School Graduation Certificate (or certificate of expected graduation) Required
Required 9 Academic transcript of high school curriculum
certificates Graduation certicate (or certificate of expected graduation) of associate
10
degree program
*Submit with
11 Academic transcript of associate degree Required for
apostille/consular-
confirmation
relevant
12 Proof of Overseas Korean Document
applicants
13 Proof of Korean Citizenship Renunciation Document
14 Proof of Korean War Veteran's Descendant
15 Score report of valid TOPIK (original) or English Proficiency Test (copy) Optional
Other 16 Copy of awards and other certificates, etc. (copy) Optional
documents Required for
17 Applicant's Passport (copy) relevant
applicants
FORM1.2025GlobalKoreaScholarshipApplication
Itemsmarkedintheredboxarerequiredforallapplicants.Deleteallpink-
coloredexamplesbeforesubmittingtheapplication.AllinformationmustbetypedinEnglishONLY.
Clickthebox(☐)tocheckoruncheck.
1. ApplicationTrack지원전형SelectonlyONEProgram
☐EmbassyTrack공관전형☒UniversityTrack대학전형
2. TypeofApplication지원프로그램SelectonlyONEProgram
[EmbassyTrack]☐General일반☐OverseasKoreans재외동포☐IRTS(UkrainianOnly)국제재건인재
[UniversityTrack]☐UIC산학협력과정☒R-GKS지방대☐AssociateDegree전문학사
3. DegreeProgramtoApply지원학위과정SelectonlyONEProgram
☒Bachelor’sDegree학사☐AssociateDegree전문학사
4. DesiredFieldofStudy(Division)희망계열(Youcanselectmultiplefields)*Pleaserefertothe“UniversityInformation”file
☐LiberalArts인문☐SocialScience사회☐NaturalScience자연과학
☒ArtsandSports예체능☐Education교육☐Medicine의학
☐Engineering공학☐ArtificialIntelligence(AI)인공지능(AI)
Pleasecompletetheformbelow.ItmustbetypedinEnglishONLY.Deletetheexampleswhentypingyourowninformation.
5. InformationoftheApplicant지원자정보
Wakode
FullName Anchal
성명 Photo
Ananda
Size:3cmx4cm
*Pleasewriteyourfullnameasindicatedonyourpassportorofficialdocuments
증명사진
DateofBirth ☐Male☒Female
Gender성별
생년월일 2006-01-22
CountryofCitizenship국적 India
KoreanCitizenship Applicant’sParent(s)☐Yes☒No
Applicant☐Yes☒No
한국국적여부 (ifanyoneofyourparentshasKoreanCitizenship,check‘YES’)
Address:plotno.31,bharatwadaroad,neargirnarbank,Swaminarayannagar,pardi,Nagpur,Maharasht
ra,India440035
ContactInformation지 Phone:+918374201453
원자본인연락처
*Mustbeapplicant’s
E-mail:anchalwakode0@gmail.com
6. LanguageAbilities어학능력
☒1☐2☐3☐4☐5☐6급
☐TOEFL
TOPIKLevel EnglishProficiencyTestScores
한국어능력시험성적 93rd,2024-04-14 영어공인시험성적
☒IELTS Band6
7. LevelofEducation학력정보
HighSchoolProgram(Requiredforallapplicants)
HighSchoolName학교명 Smt.KaushalyadeviMaheshwarigirlscollege
Location(Country)소재국 India(Nagpur,mh)
HighSchool PeriodofAttendance
고등학교 재학기간
2022-2024(11th-12thgrade)
Dateofgraduation 2024-05-21
졸업일
Dateofexpectedgraduation
졸업예정일
AssociateDegree(RequiredforApplicantswhohaveAssociateDegree)
UniversityName학교명
Location(Country)소재국
University/Institute Major전공
전문학사기관
Dateofgraduation Dateindicatedinyourgraduationcertificate
졸업일 (YYYY-MM-DD)
Degreeawardeddate Dateindicatedinyourdiploma.Itmayormaynotbethesameasyourgraduationdate.
학위수여일 (YYYY-MM-DD)
Dateofexpectedgraduation Dateindicatedinyourcertificateofexpectedgraduation(requiredforrelevantapplicants)
졸업예정일 (YYYY-MM-DD)
Haveyoueverearnedabachelor’sdegreeinthepast? ☐Yes☒No
8. InformationonAcademicTranscript/Grades성적정보
CGPA ScorePercentile
최종평균평점 백분율환산점수
CGPAindicatedonyouroriginaltranscri Ifyourtranscriptdoesnothavescorepercentile,refertoAppendixA.GPAConversionTabl
pt etoconvertyourCGPAinto100pointsscale
CumulativeGPA(CGPA)ofPre
viousprogram*
직전학위전체평균평점
78.1/100
85/100
ConvertedCGPA(in4.0,4.3,4.5,5.0,or1
00scaleonly)
3.07/4.0
※MUSTbeconfirmedbytheschool/uni
versity☒Yes☐No
*Ifyouhave(orareexpectedtoreceive)anassociatedegree,pleasefillinyourgradesachievedfromtheassociatedegreeprogram
GPAindicatedonyouroriginalacademictranscript성적표상표기된학기별/학년별평점
*Ifneeded,youmaymodifycolumns
Year 10thGrade 11thGrade 12hGrade
Semester
AY(2021-2022) AY(2022-2023) AY(2023-2024) 12thGrade
/Term
74.4/100-> 73/100-> 87/100->
GradesorRank
3.1/4.0 2.6/4.0 3.4/4.0
87/100
※IfyouracademictranscriptonlyindicatesCGPAanddoesnotprovideGPApersemester,thenyoumayleavethistableempty.
9. ChoiceofUniversityandDepartment지원대학및학과
Other(i.e.,major)(optio
FieldofStudy(Division)계
University대학 Department학과 nal)
열 기타(세부전공등)
Choice chooseuniversitiesONLYfromT
ypeB
1
chooseuniversitiesamongTypeA
☐EmbassyTra Choice orB
ck 2
chooseauniversityamongTypeA
Choice orB
3
DongseoUniversity Entertainment&Sp DepartmentofFashionDe
☒UniversityTrack orts sign
※Attention!Pleasereferto“UniversityInformation”filepostedwiththeapplicationguidelines.Ifnecessary,copyandpaste.
✓ EmbassyTrackapplicantscanchooseuptoTHREEdifferentuniversitiesinanyorderofpreference.However,Choice1mustbefromTypeBuni
versities.
✓ UniversityTrackapplicantsmustchooseONEuniversity.
✓ FieldofStudy(Division)andDepartmentshouldmatchtheinformationprovidedinthe“UniversityInformation”file.
10. PreviousVisitstoKoreaorCurrentlyResidinginKorea(ifany)한국방문혹은체류정보(해당자만기재)
Period PurposeofStay City/Region AffiliatedOrganization(ifany) VisaType
방문/체류기간 방문/체류목적 도시/지역 방문/체류기관(해당자만) 비자종류
※PleaseputyourvisatypeespeciallywhenyouarecurrentlyresidinginKorea.
11. PreviouslyReceivedScholarshipfromKoreanGovernmentorInstitutions(ifany)한국장학금수혜사실(해당자만)
Period NameoftheScholarship Sponsor
수혜기간 장학금명 지원기관
THEANSWERSIHAVEGIVENABOVEARETRUEANDCORRECTTOTHEBESTOFMYKNOWLEDGE.IFMYANSWERSCON
TAINANYKINDOFFALSEHOOD,IWILLTAKEANYLEGALRESPONSIBILITY.
2024.10.14WakodeAnchalAnanda
Date(yyyy-mm-dd)Applicant’sFullNameSignature
FORM2.PERSONALSTATEMENT
Instructions:PleasetypeinKoreanorinEnglish.TheessaymustbesinglespacedwithinTWOpages,withthefontTimesNewRoman/바탕체/돋움체,si
ze11.(11points)Theessayshouldincludethefollowingitems.Pleaseremovetheinstructionsafterreadingit.
-Motivationswithwhichyouapplyforthisprogram
-Educationalbackground
-Significantexperiencesyouhavehad;personsoreventsthathavehadasignificantinfluenceonyou
-Extracurricularactivitiessuchasclubactivities,communityserviceactivitiesorworkexperiences
-Ifapplicable,describeawardsyouhavereceived,publicationsyouhavemade,orskillsyouhaveacquired,etc.
⚫ Itisrecommendedtosubmitasupplementarydocumentthatcanprovewhatyouhavedescribedinthispersonalstatement.Pleas
enumbereachdocumentandsubmitthemas“otherdocuments”.Otherdocumentscanbesubmittedinsimplephotocopieswith
outauthentication.
Date(yyyy-mm-dd)Applicant’sFullNameSignature
FORM3.STUDYPLAN
Instructions:PleasetypeinKoreanorinEnglish.TheessaymustbesinglespacedwithinTHREEpages,withthefontTimesNewRoman/바탕체/돋움체,size
11.(11points)Pleaseremovetheinstructionsafterreadingit.
oStudyplanstoimproveKorean/Englishlanguageabilityrequiredfortakingadegreecoursebeforea
LanguageStudyPlan
ndafteryoucometoKorea.
Goalofstudy&
oGoalofstudyanddetailedstudyplan
StudyPlan
FuturePlan
oFutureplaninKoreaoranothercountryafterfinishingGKSprogram
afterStudy
Date(yyyy-mm-dd)Applicant’sFullNameSignature
FORM4.RECOMMENDATIONLETTER
Instructions:Pleasefillinyournameandotherrequiredinformationbelowanddeliver(oremail)thisformtothepersonwhowillwritetherecommendationlet
ter.Requestyourrefereetosealtheletterofrecommendationinanofficialenvelopeandsignacrossthebackflap.Recommendationlettersthatarenotdated,si
gned,orsealedwillnotbeaccepted.
NameofApplicant:WakodeAnchalAnanda
CountryofCitizenship:India
DesiredDegreeProgram:☒Bachelor’sDegree☐AssociateDegree
IntendedMajor:FashionDesign
Tobecompletedbythereferee:
YourfrankandcandidevaluationoftheapplicantwillbehighlyappreciatedintheselectionofGlobalKoreaScholarshipawardeesandthead
missionstoaKoreanuniversity.Wegreatlyappreciateyourtimeandeffort.
*Youmayuseyourownrecommendationlettertemplateandattachyourlettertothisform.Wehopetogleanthefollowinginformatio
noftheapplicantfromyourrecommendationletter:
-Howlonghaveyouknowntheapplicantandinwhatrelationship?
-
Whatareapplicant’scapabilities,strengths,andweaknesses?(inregardstoacademicachievement,passionandinterestforintendedmajor,futureaca
demicpotential,integrity,responsibility,independence,creativity,adaptability,communicationskills,andothers)
-
Pleasecommentontheapplicant’sperformancerecord,potential,orpersonalqualitieswhichyoubelievewouldbehelpfulinconsideringthea
pplicant’sapplicationfortheproposeddegreeprogram.
Recommender’sName:SarikaThakre
Recommender’sSignature:Date:2024.10.15
PositionorTitle:ClassTeacherSchool(Institution):Smt.KaushalyadeviMaheshwarigirlscollege
Address:PlotNo85/C,behindJalaramMangalKaryalaya,HiwariLayout,Nagpur,Maharashtra,India
(zip-code:440008)
Email:sarikapthakre@gmail.comTel:+919766915173
!Instructionfortherecommender:Aftercompletingtherecommendationletter,pleaseadddateandyoursignatureatthebottom.Recom
mendationlettersthatarenotsignedanddatedwillnotbeconsideredvalid.Pleaseattachthisformandyourrecommendationlettersealedi
nanenvelope(signacrossthebackflap)anddeliverthesealedenvelopetotheapplicant.
!!FortherecommendersofEmbassyTrackApplicants:Pleaseprintoutormakethreeadditionalphotocopiesoftheletteryouwroteandsig
nallcopies(1originaland3photocopiedletters)respectively.Pleaseencloseall4lettersandthisformaltogetherinanofficialenvelopeand
signacrossthebackflap.
FORM5.GKSAPPLICANTAGREEMENT
Asanapplicantfor2025GlobalKoreaScholarshipforUndergraduatedegreeprogram,Iagreetoabi
debythefollowing;
(1) TheinformationIhaveprovidedinthisapplicationformsaretrueandaccurateandalldocumentsIsubmi
ttedtotheNationalInstituteforInternationalEducation(hereafterNIIED)aregenuine.☒
(2) IunderstandthatallthedocumentssubmittedtoNIIEDforGKSwillnotbereturnedregardlessofthefina
loutcomeoftheselectionprocess.☒
(3) IwillabidebyalltheKoreanlawsandordinances.☒
(4) IwillrespectandupholdthevaluesoftheKoreancultureandsociety.☒
(5) IwillfulfillmyresponsibilitiesasaGKSscholartothebestofmyabilities.☒
(6) Iwillnotparticipateinanyformofpoliticalactivities(suchasorganizingorjoiningapoliticalparty,atten
dingpoliticalmeetings,publishingarticlesanddeclarations,andorganizingorparticipatinginpolitical
demonstrations).☒
(7) Iwillmaintainfinancialintegrityatapersonallevel.☒
(8) IacceptNIIED’sdecisionconcerningthedegreeprogramandtheKoreanlanguageprogram.☒
(9) IunderstandthatonceIamselectedasaGKSscholar.Iamnotpermittedtochangetheuniversity,eitherfor
theKoreanlanguageprogram.☒
(10)IwillabidebytheacademicregulationsandrequirementsofNIIED,Koreanlanguageinstitution,andun
iversity.☒
(11)IunderstandthatifIhaveanydependentsthatwillaccompanymetoKorea,Iamresponsibleforallmatter
sconcerningthosedependentssuchasvisaissuanceandthatNIIEDwillnotprovideanyextraexpenseso
rsupportregardingmydependents.☒
(12)IgivepermissiontoNIIED,theMinistryofEducationofKorea,theMinistryofForeignAffairsofKorea,
theMinistryofJusticeofKorea,andaffiliatedinstitutionstousethecontactinformationprovidedinmya
pplicationforthepurposeofvisaissuance,communication,conductingsurveys,andsharinginformati
onasneeded.☒
(13)IherebyauthorizeNIIEDtoverifytheinformationdisclosedinthisapplicationformandthedocumentsr
equiredbyGKSaswellastocollectanyotherinformationdeemednecessarybyGKStodeterminemysui
tabilityasanapplicantfromanyinstitution,organizationorindividualissuingsaidinformationand/ord
ocumentation.Thisincludesbutisnotlimitedtocontactingrecommendersorpreviousemployers.☒
(14)IherebyunderstandthatallinformationprovidedtoNIIEDwillbestoredinsecuredserverswhereaccess
willbelimitedtoGKSteamanditsaffiliates.Iunderstandthatallreasonableeffortswillbemadetoprotec
tconfidentialandsensitiveinformation.Bysigningbelowandsubmittingmyapplication,Iagreetothes
eterms.☒
(15)Iunderstandthatfailuretoupholdanyoftheabovestatementsmaybegroundsforterminationofmyscho
larshipoffer.☒
(continuedinthenextpage)
「NationalInstituteforInternationalEducation(NIIED)」intentstocollectanduseyourpersonalinf
ormationincludingdisclosuretothirdpartiesfortheGKSselection,basedonthe「PersonalInformation
ProtectionAct」anditsprovisions.Wewillusethecollecteddataonlyforitsintendedpurposeandinformt
heuserforanagreementwheneverthepurposeofinformationcollectionischanged.Pleaseprovideuswhe
theryouagreeornotonthetermsofpersonaldatacollectionandusageafterreferringtotheinformationbe
low.
AgreementonCollectionandUseofPersonalData
NIIEDcollectsandusestheapplicants’PersonalInformation;andisabletoprovidesuchinformation forathirdpartyinaccordance
withNIIEDpolicyandregulations.
- PersonalInformationCollected:name,dateofbirth,sex,nationality,contactinformation,TOPIKscore,careerand
educationalrecord,universityinformationapplied,andlanguageproficiency
- Purpose:SelectingGKSScholar
- RetentionPeriod:morethan5years
① Ifyoudonotapproveourcollectionanduseofyourpersonalinformation,youhavetherighttorefusetotheuseofpersonalinformation
mentionedabove.However,duetoyourrefusal,yourapplicationmaybeexcludedintheselectionprocedure.
Agree Disagree
AgreementonCollectionandUseofSensitiveInformation
① NIIEDcollectsandusestheparticipants’SensitiveInformation;andisabletoprovidesuchinformation forathirdpartyinaccordance
withNIIED’spolicyandregulations.
- SensitiveInformationCollected:Medicalinformation
- Purpose:SelectingGKSScholar
- RetentionPeriod:Atleast5yearsforhardcopy/20yearsforsoftcopy
② Ifyoudonotapproveourcollectionanduseofyourpersonalinformation,youhavetherighttorefusetotheuseofpersonalinformation
mentionedabove.However,duetoyourrefusal,yourapplicationmaybeexcludedintheselectionprocedure.
Agree Disagree
IconfirmthatIreadalloftheaboveconditions.Ialsounderstandthattheviolationofanyoneoftheabovemi
ghtresultinwarningorcancellationofthescholarship.
2024.10.14WakodeAnchalAnanda
Date(yyyy-mm-dd)Applicant’sFullNameSignature
FORM6.PERSONALMEDICALASSESSMENT
Attention!Thisformisjustapersonalmedicalassessmentandapplicantsdonotneedtogetacomprehensivemedicalexaminationatthisstage.However,alla
pplicantswhopassthe2ndroundofselectionmustreceivecomprehensivemedicalcheckupandsubmitanOfficialMedicalExaminationissuedbyamedicald
octororalicensedhospital.(TheOfficialMedicalExaminationformwillbepostedintheGKSNoticeboardalongwiththeannouncementofsuccessfulcandid
atesof2ndroundofselection)AfterarrivinginKorea,allGKSscholarswillbesubjecttoamedicalexamination(includingTBPEdrugtest)administeredbyNII
EDinaccordancewiththerequirementsoftheKoreaImmigrationService.Iftheresultsshowthattheapplicantisunfittostudyandliveoverseas,heorshemayb
edisqualifiedfromthescholarship.
Gender ☐Male☒Female HEIGHT 172cm WEIGHT 71kg
QUESTION YES NO IFYES,PLEASEEXPLAIN
Haveyoueverhadaninfectiousdiseasethatposedariskto
√
publichealth?(e.g.tuberculosis)
Doyouhaveallergies? √
Doyouhavehypertension? √
Doyouhavediabetes? √
DoyouhaveanytypeofHepatitis? √
Haveyoueversufferedfromorbeentreatedfordepressio
n,anxiety,oranyothermentalormooddisorder?(Ifyouha
√
vereceivedtreatment,pleaseexplainandattachanofficia
lmedicalreport.)
Haveyoueverbeenaddictedtoalcohol? √
Haveyoueverabusedanynarcotic,stimulant,hallucinog
√
enorothersubstance,eitherlegallyorillegally?
Haveyoubeenhospitalizedinthelasttwo(2)years? √
Haveyouhadanyseriousinjury,ailmentorsicknessinthe
√
lastfive(5)years?
Doyouhaveanyvisualorhearingimpairment? √
Doyouhaveanyphysicaldisabilities? √
Doyouhaveanycognitive/mentaldisabilities? √
Areyoutakinganyprescribedmedication? √
Areyouonaspecialdiet? √
Areyoupregnant? √
2024.10.14WakodeAnchalAnanda
Date(yyyy-mm-dd)Applicant’sFullNameSignature
