| Application for Issue of Honorary Residency in Dokdo, Ulleung-gun | Application for Issue of Honorary Residency in Dokdo, Ulleung-gun | Application for Issue of Honorary Residency in Dokdo, Ulleung-gun | Application for Issue of Honorary Residency in Dokdo, Ulleung-gun | Application for Issue of Honorary Residency in Dokdo, Ulleung-gun | Application for Issue of Honorary Residency in Dokdo, Ulleung-gun | Application for Issue of Honorary Residency in Dokdo, Ulleung-gun | Application for Issue of Honorary Residency in Dokdo, Ulleung-gun | Application for Issue of Honorary Residency in Dokdo, Ulleung-gun | Processing |
| Application for Issue of Honorary Residency in Dokdo, Ulleung-gun | Application for Issue of Honorary Residency in Dokdo, Ulleung-gun | Application for Issue of Honorary Residency in Dokdo, Ulleung-gun | Application for Issue of Honorary Residency in Dokdo, Ulleung-gun | Application for Issue of Honorary Residency in Dokdo, Ulleung-gun | Application for Issue of Honorary Residency in Dokdo, Ulleung-gun | Application for Issue of Honorary Residency in Dokdo, Ulleung-gun | Application for Issue of Honorary Residency in Dokdo, Ulleung-gun | Application for Issue of Honorary Residency in Dokdo, Ulleung-gun | 15 days |
| Applicant | ① Name | | ② Gender | ② Gender | (M/F) | ③ DOB | ③ DOB | ③ DOB | |
| ④ Photo (color) (3cm×4cm) | ⑤ Address | | | | | | | | |
| ④ Photo (color) (3cm×4cm) | ⑥ Phone no. | | | ⑦ E-mail | ⑦ E-mail | ⑦ E-mail | | | |
| ④ Photo (color) (3cm×4cm) | ⑥ Phone no. | | | ⑦ E-mail | ⑦ E-mail | ⑦ E-mail | | | |
| ⑧ Date and purpose of entry | (Onfor ) | (Onfor ) | (Onfor ) | (Onfor ) | (Onfor ) | (Onfor ) | (Onfor ) | (Onfor ) | (Onfor ) |
| ⑨ Misc. | 20-2 Dokdo-ri(3 Dokdo An Yong-bok-gil), Ulleung-gun, Gyeongsangbuk-do | 20-2 Dokdo-ri(3 Dokdo An Yong-bok-gil), Ulleung-gun, Gyeongsangbuk-do | 20-2 Dokdo-ri(3 Dokdo An Yong-bok-gil), Ulleung-gun, Gyeongsangbuk-do | 20-2 Dokdo-ri(3 Dokdo An Yong-bok-gil), Ulleung-gun, Gyeongsangbuk-do | 20-2 Dokdo-ri(3 Dokdo An Yong-bok-gil), Ulleung-gun, Gyeongsangbuk-do | 20-2 Dokdo-ri(3 Dokdo An Yong-bok-gil), Ulleung-gun, Gyeongsangbuk-do | 20-2 Dokdo-ri(3 Dokdo An Yong-bok-gil), Ulleung-gun, Gyeongsangbuk-do | 20-2 Dokdo-ri(3 Dokdo An Yong-bok-gil), Ulleung-gun, Gyeongsangbuk-do | 20-2 Dokdo-ri(3 Dokdo An Yong-bok-gil), Ulleung-gun, Gyeongsangbuk-do |
| I hereby apply for honorary residency in Dokdo and the issuance of a resident registration card certifying such residency. [ ], 2010 Applicant (signature or seal) To : Mayor of Ulleung-gun | I hereby apply for honorary residency in Dokdo and the issuance of a resident registration card certifying such residency. [ ], 2010 Applicant (signature or seal) To : Mayor of Ulleung-gun | I hereby apply for honorary residency in Dokdo and the issuance of a resident registration card certifying such residency. [ ], 2010 Applicant (signature or seal) To : Mayor of Ulleung-gun | I hereby apply for honorary residency in Dokdo and the issuance of a resident registration card certifying such residency. [ ], 2010 Applicant (signature or seal) To : Mayor of Ulleung-gun | I hereby apply for honorary residency in Dokdo and the issuance of a resident registration card certifying such residency. [ ], 2010 Applicant (signature or seal) To : Mayor of Ulleung-gun | I hereby apply for honorary residency in Dokdo and the issuance of a resident registration card certifying such residency. [ ], 2010 Applicant (signature or seal) To : Mayor of Ulleung-gun | I hereby apply for honorary residency in Dokdo and the issuance of a resident registration card certifying such residency. [ ], 2010 Applicant (signature or seal) To : Mayor of Ulleung-gun | I hereby apply for honorary residency in Dokdo and the issuance of a resident registration card certifying such residency. [ ], 2010 Applicant (signature or seal) To : Mayor of Ulleung-gun | I hereby apply for honorary residency in Dokdo and the issuance of a resident registration card certifying such residency. [ ], 2010 Applicant (signature or seal) To : Mayor of Ulleung-gun | I hereby apply for honorary residency in Dokdo and the issuance of a resident registration card certifying such residency. [ ], 2010 Applicant (signature or seal) To : Mayor of Ulleung-gun |
| * Attachments : ① 1 copy of a 2.5 by 3 cm photo ② 1 copy of a boat ticket to Dokdo | * Attachments : ① 1 copy of a 2.5 by 3 cm photo ② 1 copy of a boat ticket to Dokdo | * Attachments : ① 1 copy of a 2.5 by 3 cm photo ② 1 copy of a boat ticket to Dokdo | * Attachments : ① 1 copy of a 2.5 by 3 cm photo ② 1 copy of a boat ticket to Dokdo | * Attachments : ① 1 copy of a 2.5 by 3 cm photo ② 1 copy of a boat ticket to Dokdo | * Attachments : ① 1 copy of a 2.5 by 3 cm photo ② 1 copy of a boat ticket to Dokdo | * Attachments : ① 1 copy of a 2.5 by 3 cm photo ② 1 copy of a boat ticket to Dokdo | * Attachments : ① 1 copy of a 2.5 by 3 cm photo ② 1 copy of a boat ticket to Dokdo | Fees | Fees |
| * Attachments : ① 1 copy of a 2.5 by 3 cm photo ② 1 copy of a boat ticket to Dokdo | * Attachments : ① 1 copy of a 2.5 by 3 cm photo ② 1 copy of a boat ticket to Dokdo | * Attachments : ① 1 copy of a 2.5 by 3 cm photo ② 1 copy of a boat ticket to Dokdo | * Attachments : ① 1 copy of a 2.5 by 3 cm photo ② 1 copy of a boat ticket to Dokdo | * Attachments : ① 1 copy of a 2.5 by 3 cm photo ② 1 copy of a boat ticket to Dokdo | * Attachments : ① 1 copy of a 2.5 by 3 cm photo ② 1 copy of a boat ticket to Dokdo | * Attachments : ① 1 copy of a 2.5 by 3 cm photo ② 1 copy of a boat ticket to Dokdo | * Attachments : ① 1 copy of a 2.5 by 3 cm photo ② 1 copy of a boat ticket to Dokdo | None | None |