<p> KFTA Membership Application</p><p>* Please kindly fill in the following information, and fax it to our Office (070-8800-6677). Name Date of birth Gender □ M □ F</p><p>City/ Province Name of Sch Dates fro Position (-Si or -Do) ool m Mobile (Do you agree to receive text messages?) □ Yes □ No E-mail (Do you agree to receive E-mail messages?) □ Yes □ No Newspaper □ School receiving addr ess □ Home Information o Name Mobile f the Recomm ender Organization Position</p><p>1. Collection of personal information KFTA collects the following personal information in accordance with the Personal Information Protection Law 1. Purpose: membership management 2. Collecting information required: name, position, date of birth, residential district, workplace, date of appointment of current position, mobile number, E-mail, newspaper receiving address/ Optional: home address, information of recommender 3. Period of possession: we dispose personal information upon membership withdrawal 4. Entry of such information is required and if you choose not to provide such information, your membership application may be rejected. I agree to the collection and use of the aforementioned information, if needed. □ Yes □ No </p><p>2. Collection of identification number (To get a tax refund of KFTA membership fee) 1. Purpose: to issue donation receipt 2. Collecting information: social security number 3. Period of possession: 5 years 4. Entry of such information is optional and if you choose not to enter such information, you can still successfully sign up for a membership. Social Security Number</p><p>/ Alien Number - </p><p>I agree to the collection and use of the aforementioned information, if needed. □ Yes □ No</p><p>3. Providing information to the third parties KFTA passes members' personal information to metropolitan and provincial federation of teachers' associations 1. Purpose: membership management 2. Collecting information required: name, position, date of birth, residential district, workplace, date of appointment of current position, mobile number, E-mail, newspaper receiving address/ Optional: personal address, recommender 3. Period of possession: until the achievement of the purpose 4. Entry of such information is required and if you choose not to provide such information, your membership application may be rejected.</p><p>Busan KFTA/ Chungbuk KFTA/ Chungnam KFTA/ Daegu KFTA/ Daejeon KFTA/ Gangwon KFTA/ Gwang Recipient of the ju KFTA/ Gyeongbuk KFTA/ Gyeonggi KFTA/ Gyeongnam KFTA/ / Incheon KFTA/ Jeju KFTA/ Jeonbuk information KFTA/ Jeonnam KFTA/ Sejong KFTA/ Seoul KFTA/ Ulsan KFTA</p><p>I agree to provide the aforementioned information to the third parties, if needed. □ Yes □ No</p><p>I hereby submit KFTA Membership Application on ______(date), ______(month), ______(year).</p><p>Applicant: (Signature)</p><p>Department of Strengthening Organizations, KFTA, 114 Taebong-ro, Seocho-gu, Seoul, Republic of Korea 06764 Tel: 02.570.5575~7/ Fax: 070.8800.6677 </p>