[Form 308]

Personal Information of Pensioners Living Overseas For Alien

This report will be used as a basic data of ensuring personal information which is regarded as reporting personal information changes under the Article 41 of the Enforcement Regulation of Government Employee Pension Act.)

Your pension can be suspended if this report and supporting documentary are not submitted by the due date(06.30.2017).

Pensioner (Reporter)	Full Name	(Kor.) (Eng.)		Social Security No.
	Korean I.D. No.			Alien registration number
	Nationality			Country of Residence
	Home Phone NO.			Cell Phone NO.
	Adress of Country of Residence
	Current Address
	e-mail
① In case of Survivor's pensioner	Remarriage or not		Date of Remarriage		Spouse's name in full
② Income generation)	Division	Institution		employment period	annual gross income
	earned income
	business income
	※ Please fill in annual gross income and employment period if you earn beside pension.
③ Family (in the same residence)	Relation	Full Name	Phone No	Address

I hereby authorize regular verification for entitlement to the Article 41 of the Enforcement Regulation Government Employee Pension Act. Date of Declaration : YY MM DD ) Signiture To President of Government Employee Pension Service
④ (Supporting document)	Domestic residents	Overseas residents
	A copy of ID Card, such as passport, driver’s license, alien registraion card	A copy of ID Card, such as passport, driver’s license, alien registraion card
	Certificate of domestic residence report or Certificate of alien registration	please select one of the following statements issued within 3 months: a copy of certificate of resident registration issued by public authorities in which you reside) (example : A certificate of overseas resident registration issued by Korean government, Proof of residency for citizen, a recent tax report, medical record, rental contract, etc)
	A marriage registration document representing beneficiary’s current marital status-Duly notarized translation)	3. A marriage registration document representing beneficiary’s current marital status-Duly notarized translation)
(Remark)	If the survivor pensioner is remarried(including common-law marriage)or deceased, she/he will lose her/his entitlement.
< Consent to using the Personal Information and Public Informaion Sharing Center> I hereby consent to collection and usage, process of personal informaion as follows - Personal information : address, passport number, foreign registration number, criminal record - Period of Usage and retention : until the above purpose of collecion and usage are attained Signiture