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통ㆍ번역(파견/예약) 서비스 신청서

이주여성이 안전한 세상, 강원이주여성상담소입니다.

Division

 Interpretation         Translation         ( Duplicate selection is not allowed! If you need an interpreter and a translation at the same time, please apply for each )

Name of Applicant

Name(Name of Organization)

Telephone No.

Application Information

Language

 English          Vietnamese         Chinese         Other ( )

Date

calendar    Hour   minute    From

calendar    Hour   minute    To

Venue

Content

Others

Consent to provide and use of personal information (required)

  • Purpose of collecting and using personal information : Support for interpretation &translation services
  • Information collected : Name, Contact Number
  • Retention of Personal Information &Use institutions : Information acquired shall be stored for five years from the date of completion of service use and immediately disposed when the preserving institution elapses.
  • Matters concerning the provision of personal information to third parties : To provide the received information to the interpreters and or translators
  • There are difficulties in providing services upon refusal in giving out personal information.

  I agree.          I disagree.

I would like to apply for interpretation &or translation services as above.

** The date of application is automatically entered **

Applicant (institution name)      (sign)