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Korean-American Scientists and Engineers Association (KSEA)
2010 National Mathematics & Science Competition
The 5th KSEA Oregon Mathematics & Science Competition

Mathematics Competition Registration Form
How many children? 1 2 3
Full Name (Last, First M.) (À̸§)
* If you don't have Korean name, Leave blank.
Korean (Çѱ¹¸í) :
                              ¼º À̸§, ¿¹) ±Ç ¼±Á¾
English (¹Ì±¹¸í) :
                              Last, First M., e.g.) Richeson, Kevin

(Enter a name printed and shown in both a name tag and a certificate)
School (Çб³)
Grade (Çгâ)
Full Name (Last, First M.)(À̸§)
* If you don't have Korean name, Leave blank.
Korean (Çѱ¹¸í) :
                              ¼º À̸§, ¿¹) ±è ÈÖ¼º
English (¹Ì±¹¸í) :
                              Last, First M., e.g.) Binkley, Jim R.
School (Çб³)
Grade (Çгâ)
Full Name (Last, First M.)(À̸§)
* If you don't have Korean name, Leave blank.
Korean (Çѱ¹¸í) :
                              ¼º À̸§, ¿¹) ÀÌ Çö¹è
English (¹Ì±¹¸í) :
                              Last, First M., e.g.) Bulusu Nirupama
School (Çб³)
Grade (Çгâ)

Address (ÁÖ¼Ò)
(e.g., 1912 SW 6TH AVE, PORTLAND, OR 97021)
Phone Number (ÀüÈ­) (e.g., 5031230123)
Email (ÀüÀÚ¸ÞÀÏ)
FAX (ÆÑ½º)
Where did you hear this competition?
(¾îµð¿¡¼­ ¼Ò½ÄÀ» µé¾ú³ª¿ä?)
Áß¾ÓÀϺ¸ Çѱ¹ÀϺ¸ Ä£±¸
ÇѱÛÇб³ ±³È¸±¤°í KSEA À¥ »çÀÌÆ®
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Payment?
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