Applicant

Address

Tel. No.

Name

(Name of organization)

(Male/Female)

Date of birth

Name of facility to be used

Purpose of use

Period of use

Category of exemption

Ground for exemption

I (we) hereby apply for exemption from fees as stated above pursuant to Article 3 of the Seoul Metropolitan Government Enforcement Rule of the Ordinance on Establishment and Operation of Nature Experience Facilities for Families.

Date:

Attachments: Documents certifying that the applicant is eligible for exemption.

Applicant: (signature or seal)

To: Mayor of the Seoul Metropolitan Government