Application for Provisional Degree Certificate
학위수여예정확인서 발급신청서 
Name
성명
Student No.
학번
Department
소속
Degree Course
과정
Date of Admission
입학일자
Phone
연락처
Confirmation 확인사항
If the ‘Date of Defense’ has not been confirmed, please write the expected date. (However, only date within this semester is accepted)
Course of B.S.
학사과정
Total Credits
총 취득학점
Type of Degree 
학위 종류  
Date of Defence
학위논문심사 합격일
(  ) B.S. in engineering (공학사)
(  ) B.S. in science (이학사)
(  ) M.S. in engineering(공학석사)
(  ) M.S. in science(이학석사) 
(  ) Ph.D. in engineering(공학박사)
(  ) Ph.D. in science(이학박사)
Course of M.S.
석사과정
Credits
취득학점(교과,연구 구분기재)
Subject
Research
Date of Defence
학위논문심사 합격일
Course of Ph.D.
박사과정
Credits
취득학점(교과,연구 구분기재)
Subject
Research
Date of Qualifying Exam
전공 Q.E.시험 합격일
Score of English Test
공인외국어 시험점수
 
Date of Defence
학위논문심사 합격일
 
Title of Thesis
논문제목
Expected Graduation Date
학위수여식 예정일
Purpose
용도  
This application is submitted to issue a provisional degree certificate of B.S./M.S./Ph. D. Degree
                       Date :  
                                                 Applicant :                     (Sign.) 
                                    Advisor   :                     (Sign.)
To the President of GIST 
광주과학기술원총장 귀하