[#A] Application Form

Application Form

1. Personal Details

Name
Date of Birth (dd/mm/yyyy)	/ /	Passport No.				Nationality
Address	Office				Tel.
					Fax
	Home				Tel.
					Fax
	E-mail
Work Information	Organization Name
	Department			Position
Awards	Year & Date Awarded	Award Name		Organization Name			School Name

2. Description on Consulting Fields

* Mark your major field (Marking on 2 major fields is acceptable.)

Major Fields	Check(√)	Details
R&D Planning
Clinical Trial
GMP
RA
Technical Marketing
PM

3. Education and Working Experiences

List from the latest educational attainment.

Education	Period	University	Major	Degree	Dissertation
Working Experiences	Period	Organization	Department	Position	Main Duty

4. Qualification/License

Qualification & License	Name	Date Issued	No.	Issued by

5. Other information (if applicable)

※ The Number of Patents Acquired
※ SCI Journal / Published Papers
※ Drug Developing Projects Involved (specify your role in the project)
※ Approvals by Regulatory authorities (NDA, IND, etc.) (specify your role to acquire the approvals)
※ Business Deals Made (specify your role for the deals)
Others

6. Remuneration(Consultant Needed)

Desired Period of Stay	DD.MM.YYYY. ~ DD.MM.YYYY.
Average Income in Recent 3 Months	US$
	Home Country Currency

7. Description of Future Plan in KHIDI

8. Required Documents

Cover letter (1~2 pages, include purpose of application)

Consultant Application Form A~D

CV, Profile Photo(High resolution)

Certificate of degree

Proof documents of employment

Proof document of payment(Pay slips) for recent 3 months

Other supporting documents

Awards in relevant field, if applicable

Any proof including above stated documents that demonstrates the contents in the application form are true.

[#B] Consultant Code of Ethics Declaration Form

Consultant Code of Ethics Declaration Form

I vow to act according to my knowledge and conscience as an expert and observe the following code of ethics sincerely as a consultant participating in the government project, fully understanding the mission for the growth of the Korean pharmaceutical industry:

□ I shall perform my job sincerely and fairly as a consultant for the training and consulting service program using overseas pharmaceutical experts.

□ I shall provide the best, specialized consulting services kindly to all Korean pharmaceutical companies in performing training and consulting.

□ As a consultant, I shall maintain honor, dignity, and integrity and endeavor for the improvement and update of expertise and technology consistently.

□ I shall not take any action in violation of the laws and ethics for the public position using information obtained in the course of performance of the job.

□ I shall make utmost efforts for the growth of the general Korean pharmaceutical industry and proffer services to every single Korean pharmaceutical company as the target of the government project.

_____/____/2023

Name of Consultant:_____________   signature:___________

To: KHIDI

[#C] Privacy Policy Agreement

Privacy Policy Agreement

The Korea Health Industry Development Institute (KHIDI), following the applicable legislation including the Personal Information Protection Act, ensures information providers are aware of the following ahead of collection of personal information. Please thoroughly read the following before giving your  consent.

1. Purpose of Collection and Use of Personal Information

- Execution and management of hiring  procedures (such as to review and verify eligibility).

Settlement and maintenance of an employment agreement with hired employees; the issue of work history certificates; maintenance and improvement of efficiency in personnel management (personnel pool management, work allocation, personnel welfare management, etc.).

2. Items of Personal Information Collected

Classification	Item	Purpose
Essential	Name, address	Applicants’ identification
	Mobile phone number, email address	Announcements and communication regarding applications
Optional	Items for verification of eligibility ※ Student records, graduation certificates, etc.	Verification of eligibility
	Items for special consideration ※ Work history, qualifications, other achievements, etc.	Verification of items for special consideration
	Self-introduction	Referenced in the first and second screenings

3. Period of Personal Information Storage and Use

Hired applicant	All other applicants
Until required for personnel management following the applicable regulations after the termination of the employment contract	Disposed of as required by law

4. Right to Withhold Consent and its Consequences

- Applicants have the right to refuse to consent to the collection of personal information   described herein.

- Your application may not progress further if you do not consent to the collection of personal information.

※ Collected personal information will not be used for any purpose other than what is specified above.

[Agreement to the Collection/Use of Personal Information] I hereby agree to the collection and use of my personal information.

Essential information: Agree ■ Do not agree □

Optional information: Agree ■ Do not agree □

MM/DD/YYYY

Applicant:    (Signature)

* Your name typed in suffices as your signature.

President of the Korea Health Industry Development Institute

[#D] Consent to Personal Information Checking

Consent to Personal Information Checking

I agree to the checks on the personal information written on my application form for 「Recruiting of Overseas Pharmaceutical Experts and Utilization」in accordance with Clause 2, Article 32 of the Law on the Use and Protection of Credit Information.

※The signed consent is effective until the end of recruiting process from the moment of submission

____/____/2023

Name of Consultant:____________  signature:___________

To: KHIDI