| ■ 외국인근로자의 고용 등에 관한 법률 시행규칙 [별지 제13호의2서식] <개정 2024. 1. 10.> | | Application for Change of Workplace
(약호: A522B) | | This is also available on the EPS website at www.eps.go.kr | | | Grey section is for office use only. | (Front page) | | *Application | Date | Application Number | Authorized Department | Processing
Period | *Prior Approval | Head | Section chief | Division chief | Assigned officer | | | | 15days | | | | | | | ※ Please check the appropriate box [ ]. | | ① Applicant Information | | Name (in English): | Alien Registration No. (Passport No.): | | Nationality: | | Contact information | Residential address in Korea: | | Mobile phone No. (or a phone number where you can be reached): |
| ② Reason for Change of Workplace | [ ] Expiration of labor contract [ ] Termination of labor contract
[ ] The reasons that are officially announced by the Minister of Employment and Labor, such as temporary shutdown or closure of business, employment permit cancellations and employment restrictions
[ ] Injuries |
| ③ Preferred Conditions of Employment | Order of
preference | Type of Business (Code) | Type of work task (Code) | | 1 | | | | 2 | | | | 3 | | | Business
location | 1.( ) CityㆍProvince ( ) GunㆍGu (County)
2.( ) CityㆍProvince ( ) GunㆍGu (County) [ ] Regardless | | Desired salary | Basic monthly salary of ( ) or more | | Other preferred working conditions (Duration of the employment, work hours, etc.) |
| I hereby certify that the above information is correct pursuant to Article 25, Paragraph 1 of the Act on Foreign Workers' Employment, etc. and Article 16, Paragraph 1 of the Enforcement Regulations of the same Act. | | (YY/MM/DD) | | Applicant | (signature) | | This application is made to the Head of OO Regional Employment and Labor Administration |
| Submission by applicant | Copy of passport (if the applicant’s alien registration cannot be verified as stipulated in Article 88 of the Immigration Control Act.) | No fees
charged | | Verification by authority | The authorized officer verifies whether the applicant is a registered alien pursuant to the Article 88 of the Immigration Control Act. | | | Authorization for Disclosure of Information | I hereby accept the authorized government employees to disclose and transmit the information provided herein for verification through the common use of administrative information as stipulated in Article 36(1) of the Electronic Government Act.
* If not accepted, all required documents shall be submitted by the applicant. | | | Applicant | | | (signature) |
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