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Registration & Record Slip - M.Div Online (Fall 2010)

  Student ID
  1. Korean Name   2. English First Name   English Last Name
  3. Address   City   State
               Zip Code   Country   Email
  4. Contact Home   Work   Cell Phone
  5. Degree   6. Distance   7. Semester   8. Gender
  9. Registration Record
  No   Course No   Course Title   Units   Professor   Distance
  1.
  2.
  3.
  4.
  5.
  6.
  7.
  8.
  9.
  10.
  Application Fee: $   ($50.00 ½ÅÀÔ»ý¸¸, Only New Student)
  Registration Fee: $  
  Student Government Fee: $  
  Total_tuition $  Registration Units (Total Units) X 120.00
  Scholarship $  
  Total in this Semester $  
À§ÀÇ µî·Ï±Ý ¾×¼ö¸¦ È®ÀÎÇÏ°í µî·ÏÇÕ´Ï´Ù. (I understand and agree that I am responsible for full amount shown above)
 Student's Signature   Date : Ex> 2010-02-10

ÇÏ´Ü ºÎºÐÀº ±³¹« ÇàÁ¤¿ëÀÔ´Ï´Ù.

 Registrar's Signature   Date : Ex> 2010-02-10
 Reference Code