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통ㆍ번역(파견/예약) 서비스 확인서

이주여성이 안전한 세상, 강원이주여성상담소입니다.

Client

Name(Name of Organization)

Telephone No.

Contents of Activity

Name of InterpreterㆍTranslator

Telephone No.

Language

 English          Vietnamese         Chinese         Other ( )

Date of Interpreta-tionㆍTranslation

calendar    Hour   minute    From

calendar    Hour   minute    To

Major Content

 Medical         Labor         Immigration         Law         Gen. Administration         Individual Consultation         Life
 Others ( )

Comment, Suggestions

① Has the interpretation or translation services made accessibility easier for the public sector?
         Very much         Yes         No         Not at all

② Have you solved your communication difficulties through interpretation and translation services?
         Very much         Yes         No         Not at all

③ Would you like to use the interpretation or translation service again next time?
         Very much         Yes         No         Not at all

④ Please write your opinion about the interpretation and or translation services.

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.

This is to confirm that the interpretation and or translation as above were carried out as above.

** The date of application is automatically entered **

Applicant (institution name)      (sign)