Application Form for jica training and Dialogue Programs



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(KOICA) 2022 KOICA SP Application form

Agree □ Disagree □




Consent to Provide Sensitive Information to a Third Party

According to Article 23 of the Personal Information Protection Act, KOICA would like to obtain your consent to the following on the provision of sensitive information to a third party.

The recipient of personal information

Purpose of use

Provided particulars of personal information

Term of retention and use

Koworks

checking personal information and qualifications for recruitment and selection, operation of training programs and performance management, management of participants including immigration and sojourn support

religion, health information (medical history), treatment records (detailed statement of treatment, doctor’s note)

destroyed upon termination of work

Training Institute (university)

operation of training and sojourn support

religion, health information (medical history), treatment records (detailed statement of treatment, doctor’s note)

destroyed upon termination of work

Insurance company
(Samsung Fire & Marine Insurance Co., Ltd., DB Insurance Co.,Ltd.)

(registration) insurance purchase and roster management (compensation) document screening and claim payment management

treatment records (detailed statement of treatment, doctor’s note, etc.)

(registration) 3 years
(compensation) 5 years

Soonchunhyang University Hospital

conducting medical check-ups for participants

health information (medical history, etc.)

10 years

You have the right to disagree to the provision of the above sensitive information. However, should you disagree, be informed that there may be restrictions to KOICA’s support such as visa issuance, immigration management, arrangement of flights and accommodations, KOICA Club activities, insurance and medical services; and to your participation in KOICA’s training programs.




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