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E-2 Applicant's Health Statement

This form collects health information from applicants for an E-2 visa to check their eligibility. It asks whether the applicant has ever had infectious diseases, taken narcotics or been addicted to alcohol, received treatment for mental disorders, been HIV positive, or had serious diseases or injuries in the last 5 years. Filling out the form incorrectly could result in visa denial, cancellation of their stay permit, or deportation. The applicant must register with immigration within 90 days of arrival and submit a health certificate from a government-designated hospital.

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762 views1 page

E-2 Applicant's Health Statement

This form collects health information from applicants for an E-2 visa to check their eligibility. It asks whether the applicant has ever had infectious diseases, taken narcotics or been addicted to alcohol, received treatment for mental disorders, been HIV positive, or had serious diseases or injuries in the last 5 years. Filling out the form incorrectly could result in visa denial, cancellation of their stay permit, or deportation. The applicant must register with immigration within 90 days of arrival and submit a health certificate from a government-designated hospital.

Uploaded by

koreainsider
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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E-2 Applicant`s Health Statement

This form is to check the E-2 Visa Applicant`s Health. Please fill in the blanks
accurately and truthfully. Please keep in mind that if you fill in the blanks with incorrect
information, you would face disadvantages such as visa disapproval, cancellation of
stay permit, deportation, etc.

1) Name in Full (As in Passport) 2) Date of Birth (mm/dd/yyyy)

3) Nationality 4) Sex 5) Passport number

6) Have you ever caught infectious diseases that threaten public Health before?
Yes ( ) (Infectious Disease name: No ( )
7) Have you ever taken any Narcotic (Drug) OR Have you ever been addicted to alcohol?
Yes ( ) (Narcotic name: ) No ( )
8) Have you ever received treatment for Mental/Neurotic/Emotional Disorder?
Yes ( ) (Disorder name: ) No ( )
9) Are OR were you HIV (AIDS) positive?
Yes ( ) No ( )
10) Have you had any serious Di9seases OR Injuries for the last 5 years?
Yes ( ) (Name& recent situation: ) No ( )

NOTICE :
You MUST make Alien Registration at your District Immigration Office (OR Branch
Office) within 90 days after your arrival in Korea. And, when you register, You MUST
submit your Health Certificate obtained from the hospital which has been designated
by the Korean Government.

Date: ____________________________

Applicant's Signature: __________________________

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