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Academic Credentials
Evaluation Institute, Inc.
For
A C E I  u s e  o n l y
9461 Charleville Boulevard,Box 188
Beverly Hills, CA 90212, USA
DATE:
REF#
Phone: 310.275.3530
Fax: 310.275.3528
BR
CR
CMR
24-R
3-R
5-R
Website: www.acei1.com
E-mail: acei@acei1.com
FEES: $
A P P L I C A T I O N  F O R  E V A L U A T I O N  O F  F O R E I G N  E D U C A T I O N A L   C R E D E N T I A L S
Before completing this form, make sure that you have read ALL information provided in http://www.acei1.com/academicevaluation.html
Please PRINT or Type Clearly
NOTE: Failure to provide complete information will delay the application process.
SECTION A. PERSONAL  INFORMATION
A1. Name: ______________________________________________________________________________________
Lee
Namu
v
Male
Female
(Last/Family Name)
(First Name)
(Middle Name)
A2. Mailing Address: _____________________________________________________________________________________________________
(Number & Street)
(Apt./Flat/Suite#)
(City)
(State)
(Zip/Postal Code)
(Country)
34, Jong-ro,
Jongno-gu
Seoul
110-110
Korea
A3. Telephone:  (___)  _____________________
(___)  __________________________
822   736-2500
822   736-2500
namuedu@namucpa.com
Day time/Evening
Fax#
E-mail
A4. Birth Date: ________________________________________________
Country of Birth: _________________________________________
4
1
1985
Korea(ROK)
(Month)
(Day)
(Year)
A5. Have you ever applied to ACEI:
NO
YES - If yes, when? (date)
v
ACEI Ref. #:
A6. Who referred you to ACEI? _____________________________________________________________________________________________
namu
SECTION B. ACADEMIC HISTORY
List ALL educational institutions attended and now attending, beginning with primary school (if additional space is needed, please use a
separate sheet of paper and attach to this form). This section must be completed.
Name of Institution(s)
City/Country
Dates of Attendance
Credential(s) Earned
From/To
AB Elementary SchoolSeoul03.1992-02.1998Graduated
CD Junior High SchoolSeoul03.1998-02.2001Graduated
EF High SchoolSeoul03.2001-02.2004Graduated
GH UniversitySeoul03.2004-02.2012학위명
SECTION C.PRIMARY PURPOSE FOR EVALUATION
Please check (     ):
Further Education - Please specify name of institution: __________________________________________
Employment
Immigration
Other ________________________________________
Professional Licensure - State:Profession: ______________________________
v
CA
SECTION D. EVALUATION MAILING
Please check (     ):
□ Mail OFFICIAL evaluation and DUPLICATE (unofficial) COPY directly to the address in A2 above.
□ Mail OFFICIAL evaluation to the address(es) shown below and the DUPLICATE (unofficial)
COPY to the address in Section A2 above. (If you list more than one address below, see Section
E2.for extra charges.) (NOTE: there is a required mail fee for each mailing address, see section E4.)
Attach an additional sheet if needed.
1. Name: _________________________________________
Title/Company/Institution: ____________________________
Address: __________________________________________
Telephone: (___)  _________________________________
E-mail: ____________________________________________
Vermont Board of Public Accountancy
150.00
Office Of Professional Regulation National
Life Bldg., North, FL 2 Montpelier, VT 05620-3402
802   828-2808
peter.comart@sec.state.vt.us
Select Type of Mailing
□ 1st Class   □ Priority
□ Air Mail   □ Courier/Express
□ 1st Class    □ Priority
□ Air Mail    □ Courier/Express
□ E-mail
2. Name:
Title/Company/Institution: ______________________
Address: ____________________________________
Telephone: (____)  ___________________________
E-mail: _____________________________________
NOTE: If you are requesting Express/Overnight/Courier Mail Delivery, please provide a street address and phone#.(No P.O. Boxes)
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SECTION E. TYPES OF EVALUATION REPORTS & ADDITIONAL SERVICES
E1. Evaluation Report:
Please Check (     ) to indicate selection of report:
Enter Amount
BASIC REPORT (suitable for employment/immigration/military enlistment)
□ High School/Secondary Level Education (only)
$100.00
$ ________________
□ College/University Education:
□ Fee for studies leading to 1st degree/credential
$100.00
$ ________________
□ Fee for each additional degree/credential
(specify # of credentials) ________ x
$  30.00
$ ________________
COURS REPORT (suitable ONLY for California Board of Accountancy)
□ College/University Education:
□ Fee for studies leading to 1st degree/credential
$150.00
$ ________________
v
v
150
□ Fee for each additional degree/credential
(specify # of credentials) ________ x
$  50.00
$ ________________
COMPREHENSIVE REPORT [Course-by-Course with Grades & Course Levels]
(suitable for further education/continuation of studies, teacher Certification, professional certification)
□ High School/Secondary Level Education (only)
$180.00
$ ________________
□ College/University Education:
□ Fee for studies leading 1st degree/credential
$180.00
$ ________________
□ Fee for each additional degree/credential
(specify # of credentials) ________ x
$  90.00
$ ________________
□ Course Match (only if requested by U.S. College or University - additional fee
)
$100.00
$ ________________
E2. EXTRA OFFICIAL REPORT (optional)
(specify # of extra reports) ________ x
$ 30.00
$ ________________
E3. RUSH SERVICE (optional, check only one)
Payments for RUSH Service evaluations must be submitted by money order/cashier’s check/credit card.
□ One (1) Business Day
(Completed with in 1 full business day from receipt of documents)
$250.00
$ ________________
□ Three (3) Business Day (Completed with in 3 full business day from receipt of documents)
$200.00
$ ________________
□ Five (5) Business Day
(Completed with in 5 full business day from receipt of documents)
$150.00
$ ________________
E4. MAILING/SHIPPING/HANDLING DELIVERY (REQUIRED)
Evaluation fee does NOT include the cost for mailing. Select a mailing option for each mailing address provided. If required mailing fee is not
selected, you will be charged the First Class mailing fee of $ 7 for each mailing address provided or Air Mail fee of $12 for overseas/international
address(es).
□ Air Mail
(specify # of mailings)
___ x
$ 12.00 min.*
$ ________________
(overseas/international - no tracking for package or gaurantees delivery)
v
12.00
□ Priority Mail
(specify # of mailings)
___ x
$ 14.00 min.*
$ ________________
v
14.00
(domestic/US only - provides you tracking and gaurantee delivery 1-3 business days)**
□ Courier/Express
(specify # of mailings)
___ x
$ 40.00 min.*
$ ________________
(domestic/US only - provides tracking and gaurantees next day delivery)
□ Courier/Express
(specify # of mailings)
___ x
$ 80.00 min.*
$ ________________
(overseas/international - provides tracking and gaurantees next day delivery)**
□ E-mail (OFFICIAL evaluation, only to 3rd party)
(specify # of mailings)
___ x
$ 10.00
$ ________________
□ FAX (OFFICIAL evaluation, only to 3rd party)
(specify # of mailings)
___ x
$ 10.00
$ ________________
* Mailing and delivery fees listed are the minimum fees for each type of mailing. Certain delivery locations/oversized/extra - large original
documents will require additional fees for return mail. Applicants will be notified of the additional postage fee once documents and
application are on file.
** Delivery time may vary depending on deliver location/region.
TOTAL FEES
$ ________________
176.00
E5. PAYMENT (REQUIRED)
Select Method of Payment:
(Make payments payable to: ACEI)
□ Personal Check
□ Cashier’s Check
□ Money Order
□ Debit Card (Visa/MasterCard)
□ American Express
□ Discover
□ MasterCard
□ Visa
v
For Credit Card Payments, please complete the following:
Card Number: _________________________________________________________________________________ Expiration Date:     ______    /    ______
0000-0000-0000-0000
11
2011
Month
Year
3-digit code/CVVS [see back of card] Visa/MasterCard/Discover: _______
4-digit code [see front of card] American Express: _______
123
4567
Billing Address of Credit Card: ___________________________________________________________________________________________________
Jongno-gu
Seoul
110-110
Korea
Street / P.O. Box
Apt./Suite#
State
Zip Code
Country
Card Holder’s Name (please print): ________________________________________________________________________________________________
(First/Given Name)
(Middle Name)
(Last/Family Name)
Namu
EDU
I hereby authorize the Academic Credentials Evaluation Institute, Inc. (ACEI) to utilize my credit/debit card for the detailed billing as noted on the
ACEI Application for Evaluation of Foreign Educational Credentials.
Signature:__________________________
Date:__________________________
2
SECTION F. TERMS & CONDITIONS
1.
Altered orForgedAcademic Credentials
An evaluation will not be prepared and fees will not be refunded in the event ACEI determines, in its sole but reasonable discretion, that the educational credentials submitted for
evaluation have in any way been altered, tampered, modified or forged, whether by the applicant or any other third party (collectively, “Forged Credentials”). All documents
(photocopies/originals/official) provided become the property of AC EI. The institution, agency, or professional licensing board for which the evaluation is intended, U.S.government
agencies, and other evaluation services will be notified in the vent ACEI believes the credentials submitted for evaluation are Forged Credentials.
2.
Equivalency Recommendations & Guarantees
The U.S. educational equivalencies recommended in ACEI evaluation reports are in accordance with established guidelines and represent the considered judgments of qualified
evaluators. Applicant acknowledged having been informed that ACEI evaluation reports are advisory only and that ACEI’s recommended U.S. educational equivalencies may differ
or otherwise vary from advisories rendered or prepared by other third party academic evaluators or source institutions. ACEI evaluations and/or recommendations are not binding
on any institution, agency or third party. Additionally, applicant acknowledges having been informed and agrees that (1) although ACEI shall use reasonable efforts to determine the
validity of such information it receives, ACEI does not and cannot guarantee against ubmitting its report or evaluation and/or recommendations based on review of Forged
Credentials or other fraudulently altered items (whether the same has been sent directly to ACEI by the source institution or directly by the Applicant) and (2) ACEI shall have no
liability, duty, or obligation to applicant, Applicant Parties (defined below under Terms and Conditions Section 12) or any source institution in the event ACEI submits a report or
evaluation based on its review of any information or record that is ultimately deemed to be a Forged Credential despite ACEI’s reasonable determination that the same was not
Forged Credential at the time of initial submission or review. Without limiting any of the foregoing, ACEI does not guarantee that an applicant, agency, or any third party will agree
with its educational equivalency recommendations and assumes no responsibility for judgments or opinions made by an applicant, agency, or by any third party which disagrees
with its educational equivalency recommendations. In the event or any disputes between the applicant and ACEI, such disputes shall resolved by Mediation (as more particularly
described below under Terms and Conditions Section 12) and governed by California law and shall be subject to exclusive the jurisdiction of the Los Angeles County Courts without t
reference to.
3.
Evaluation Results
ACEI will not release the results of an evaluation on the telephone, email, or by facsimile (FAX) to the applicant. As indicated in Section 5 (Instructions), the fee for the evaluation
covers one official report and one duplicate unofficial copy. If you do not authorize the release of the official report to an institution, agency or third party, ACEI will send you the
official report in a sealed envelope which should be opened by the institution, agency or third party for which the evaluation is intended.
4.
Evaluation Review
After the evaluation has been completed, any questions regarding the evaluation report, based on the documents provided to ACEI with the initial application, must be submitted in
writing to ACEI within the first two (2) months of the completion date (“Grace Period”). Requests for review of the evaluation or questions concerning the evaluation submitted after
expiration of the "Grace Period" shall be subject to a $50.00 review fee.
5.
Re-Activation
If an applicant fails to provide all required documentation with the application within two (2) months of the date the application was received, Applicant acknowledges and agrees
that the application shall automatically be deemed as inactive. A $50.00 re-activation fee is required to process an inactivate file.
6.
Re-Evaluations
Re-evaluations of credentials not submitted with the original application request are treated as new evaluations and full payment with a new application for the evaluation report is
required. Requests to change a Report type (e.g. Basic Report to a Comprehensive Report or vice-versa), once an evaluation has been completed, requires the full evaluation fee
for the new type of Report.
7.
Refunds
Do not submit an application with insufficient documentation, as fees are non-refundable once an application for credential evaluation has been submitted to ACEI. A refund will be
made only when an applicant has paid to ACEI more than the required cost of the evaluation. No refund will be issued when application is cancelled. (See Terms and Conditions
#Section11)
8.
Insufficient Documentation
ACEI will contact the applicant or agent representing the applicant if additional information, documents, or fees are needed, as determined by ACEI. Subject to the terms and
conditions set forth under Section 5 above (Reactivation). The application will be kept in pending status until all documentation and fees have been received.
9.
Verification of Educational Credentials
ACEI, in its sole and absolute discretion, may elect to inquire about, clarify, and/or verify any and all educational documents submitted for evaluation to ACEI with the issuing
institution(s).
10.
Evaluation Expiration
The evaluation report and any documents submitted with an application are kept at the ACEI archive for a period of three (3) years from the date it was completed. Requests for
extra official reports of an evaluation that are more the three (3) years old shall be subject to a new application and submission of credentials and fees for a new evaluation.
11.
Cancellation
No refunds shall be made when an application is cancelled after the application form for evaluation has been submitted and a case file has been opened.
12.
Mediation
Applicant, on behalf of itself and its representatives, affiliates, and agents (“Applicant Parties”) hereby agree to mediate any dispute or claim arising between ACEI and Applicant
and/or Applicant Parties them out of this Agreement before resorting to any arbitration or other legal action. Mediation is a process by which parties attempt to resolve a dispute or
claim by submitting it to an impartial, neutral mediator, who is authorized to facilitate the resolution of the dispute, but who is not empowered to impose a settlement on the parties.
The parties agree to employ ADR Dispute Resolution Services in Los Angeles, California, or if an acceptable panel member from that organization is not available within 30 days of
the date of submission of this matter to mediation, then to another commercial mediator or mediation service mutually elected and mutually agreed to by Applicant and ACEI ("ADR
Services"). Mediation fees, if any, shall be divided equally among all of the parties involved and shall be paid to the mediator prior to the commencement of the mediation.
Evidence of anything said, any admission made, and any documents prepared in the course of the mediation, shall not be admissible in evidence, or subject to discovery in any
arbitration or court action, pursuant to California Evidence Code Section 1152.5. If any party commences any litigation or court action based on a dispute or claim to which this
Section 12 applies without first attempting to resolve the matter through mediation, then if such party prevails in the litigation or court action, the trial court shall have the authority to
allow such party to recover its attorneys' fees or costs of suit.
13.
Attorneys' Fees
In any mediation, litigation, or other legal proceeding which may arise between Applicant, ACEI and any third party that becomes a party to the subject matter set forth under the
application, the prevailing party shall be entitled to recover its costs, including costs and actual attorney’ fees in addition to any other relief to which such party may be entitled.
14.
Disclaimer
Applicant, on behalf of himself or herself and on behalf of Applicant Parties, acknowledges and agrees that ACEI has not and does not make any guaranty or warranty to Applicant
that it can fully safeguard against reviewing fraudulently tampered, altered, forged, or modified documents although ACEI shall use reasonable efforts to prevent doing so. No
express or implied guarantees are made by ACEI with respect to its ability to, at all times, accurately identify forged, fraudulent, tampered, or altered credentials, transcripts or other
items submitted to it for review.
15.
Release
Except for instances of the sole,and gross negligence and intentionally reckless misconduct of ACEI, the Applicant, for himself or herself and on behalf of Applicant Parties,
releases and forever discharges ACEI and its respective officers, directors, shareholders, members, managers, partners, agents, affiliates, successors, and assigns (collectively,
"ACEI Parties") from, and waives any right to proceed against ACEI or ACEI Parties for, any and all costs, fees, obligations, damages, expenses, claims, liabilities and demands
(including attorneys' fees and costs) at law or in equity, whether known or unknown, seen or unforeseen, rising out of or relating to, whether directly or indirectly, (i) this
Application; (ii) ACEI’s review of any information, credentials, transcripts or other documents whether provided by Applicant or the sourcing institution; (iii) any evaluation report or
recommendation made by ACEI; and (iv) any review, finding or recommendation made by ACEI based on its review of forged, fraudulent, tampered, altered or other forged
information it received and reviewed
Without limiting the foregoing, Applicant waives the provisions of Section 1542 of the California Civil Code, which provides: A GENERAL
RELEASE DOES NOT EXTEND TO CLAIMS WHICH THE CREDITOR DOES NOT KNOW OR SUSPECT TO EXIST IN HIS OR HER FAVOR AT THE TIME OF EXECUTING
THE RELEASE, WHICH IF KNOWN BY HIM OR HER MUST HAVE MATERIALLY AFFECTED HIS OR HER SETTLEMENT WITH THE DEBTOR.
3
Please check box:
I have read and agree to the Terms and Conditions listed in Section F.
SECTION G.CERTIFICATION BY APPLICANT / AGENT REPRESENTING APPICANT
G1. I certify that, to the best of my knowledge, all the information provided in this form is true, complete and correct.
G2. I certify that I have read Sections 1 through 5 of INSTRUCTIONS and TERMS & CONDITIONS of Academic Evaluation as posted above
and/or under Services: Academic Evaluation http://www.acei1.com/academicevaluation.htmland agree to the terms stated herein.
G3. I understand that the evaluation prepared by ACEI is advisory and not binding upon any individual, institution or agency that uses it and
release ACEI from any liability for damages resulting from the use of the evaluation report.
G4. I understand that, once this application is submitted, there are no cancellations and all fees are non-refundable.
(Name, Printed)
(Signature)
(Date)
CHECKLIST
Before submitting your application to ACEI, please answer the following questions:
□ Have you read the instructions and information on the ACEI application http://www.acei1.com/academicevaluation.html.?
□ Have you completed and signed the ACEI application?
□ Have you sent in all your educational credentials http://www.acei1.com/academicdocuments_ae.html?
□ Have you provided certified English translations of all your educational credentials?
□ Have you enclosed the applicable fee?
APPLICATION MAILING – ACEI’s Mail Processing Centers:
Los Angeles Location*
Monterey Park Location*
West Los Angeles Location*
ACEI
ACEI
ACEI
9854 National Boulevard, Box 186
333 W. Garvey Street, Box 254-B
9461 Charleville Boulevard, Box 188
Los Angeles, CA 90034
U.S.A.
Monterey Park, CA 91754
U.S.A.
Beverly Hills, CA 90212
U.S.A.
*NOTE: This mailing handling facility accepts; DHL, FedEx, UPS, etc. No walk-ins.
Thank you.
Rev. 1/1/14
4
입력
Academic Credentials
Evaluation Institute, Inc.
For
A C E I  u s e  o n l y
Beverly Hills, CA 90212, USA
DATE:
REF#
Phone: 310.275.3530
Fax: 310.275.3528
BR
CR
CMR
24-R
3-R
5-R
Website: www.acei1.com
E-mail: acei@acei1.com
FEES: $
외국 교육기관 인증 평가를 위한 지원서
이 양식을 모두 작성하기 전에 모든 주의사항과 정보를 http://www.acei1.com/academicevaluation.html 에서 숙지 하사기 바랍니다.
출력하거나 깨끗하게 작성하십시오.
참고 : 완벽한 정보를 제공하지 않으면 인증평가가 지연될 수도 있습니다.
Section A. 개인정보
A1. 이름 : -
남자
여자
(성)
(이름)
A2. 주소 :
(지번)
(건물명)
(도시)
(도)
(우편번호)
(국가)
A3. 전화번호 :
연락가능시간
팩스#
이메일
A4.생년월일
출생국가 :
(달)
(일)
(연도)
A5.ACEI 에 지원 경험유무
- 있다면 언제? (날짜)
NO YES
ACEI Ref. #:
A6. 어떤 기관에서 참조하게 할 것인가?
Section B. 학력사항
초등학교부터 재학중이거나, 재학했던 교육기관을 작성하시오. (만약 추가적인 공간이 필요하다면 별도로 작성하여 첨부하시오.)
이 부분은 반드시 작성되어야 합니다.
교육기관
도시/국가
입학일/졸업일
수료/졸업
Section C. 성적평가의 주 목적
선택하여 주시기 바랍니다. ( ):
상급 교육 기관 진학 - 교육기관명
고용
이주
기타
전문적인 자격 취득 주명 자격증명
Section D. 평가발송
선택하여 주시기 바랍니다. ( ) :
공식적인 평가결과와 복사본을 A2 에 기재된 주소로 받기 원합니다.
공식적인 평가결과를 아래의 주소로 보내고 복사본을 A2에 기재된 주소로 발송합니다.
(만약 당신이 하나이상의 발송처를 원한다면 Section E2를 참고하시기 바랍니다.
이경우 추가적인 비용이 발생합니다.) (참고 : 각 발송되는 결과마다 비용이 발생합니다.
Section E4를 참고하시기 바랍니다. 추가적인 발송지는 문서에 첨부하시기 바랍니다.)
1. 이름
기관명:
주소:
전화번호:
E-mail  : 
2. 이름
기관명:
주소:
전화번호:
E-mail  : 
발송방법 선택
1등급 우선취급
항공우편 택배/고속
1등급 우선취급
항공우편 택배/고속
E-mail
참고: 만약 고속/ 익일/ 택배 발송을 요청할 경우, 주소명과 전화번호를 정확히 적어주세요(사서함은 이용불가)
1
Section. E 평가보고서 타입과 추가적인 서비스
E1E1. 평가 보고서
선택할 보고서에 체크(∨)해주세요
금액 입력
기본적인 보고서(채용/이민/입대 에 적합한 보고서)
고등학교/ 이에 동등한 교육기관(최종학력)
$100.00
$
대학/대학교 교육기관
첫 학위/ 수료증을 위한 비용
$100.00
$
추가적인 학위/수료증을 위한 비용
(명시된 수료증 번호) x
$  30.00
$
현행의 보고서(캘리포니아의 회계위원회에 적합한 보고서)
대학/대학교 교육기관
첫 학위/ 수료증을 위한 비용
$150.00
$
추가적인 학위/수료증을 위한 비용
(명시된 수료증 번호) x
$  50.00
$
포괄적인 보고서[학년과 레벨별에 따른 성적형가]
(전문적인 자격, 교사자격, 지속적 학습에 적합한 보고서)
고등학교/ 이에 동등한 교육기관(최종학력)
$180.00
$
대학/대학교 교육기관
첫 학위/ 수료증을 위한 비용
$180.00
$
추가적인 학위/수료증을 위한 비용
(명시된 수료증 번호) x
$  90.00
$
Course Match (U.S에 있는 대학이나 대학교에 요청해야 한다면 – 추가적인 비용발생)
$100.00
$
E2. 추가 공식적 보고서 (선택)
(명시된 추가 보고서 번호) x
$  30.00
$
E3. 빠른 처리 (optional, check only one)
빠른 평가 처리를 위해서 반드시 현금결제/수표/신용카드로 결제해야합니다.
1 영업일
(1 영업일 이내에 완료된 문서를 받아 볼 수 있습니다.)
$250.00
$
3 영업일
(3 영업일 이내에 완료된 문서를 받아 볼 수 있습니다.)
$200.00
$
5 영업일
(5 영업일 이내에 완료된 문서를 받아 볼 수 있습니다.
$150.00
$
E4. 우편물 / 배송 / 배달 (필수)
평가 비용에는 배송에 관련된 비용이 포함되어있지 않습니다. 각각에 제공되는 배송 서비스를 선택하여 주십시오.
만약 배송요금을 선택하지 않는다면 국내의 경우 제 1종 우편물로 취급하여 $7의 배송료가 부과 되고, 해외의 경우 항공우편요금인 $12가 부과됩니다.
항공우편
(명시된 수의 우편물)
x
$ 12.00 min.*
$
(해외/국제 – 우편의 추적이나 보증이 되지 않는 배송)
우선 취급우편
(명시된 수의 우편물)
x
$ 14.00 min.*
$
(국내/US한정 – 우편의 추적이 가능하고 1~3일 이내 배송이 보증되는 배송)**
택배/고속
(명시된 수의 우편물)
x
$ 40.00 min.*
$
(국내/US한정 – 배송 추적이 가능하고 익일배송이 보장되는 배송)
Courier/Express
(명시된 수의 우편물)
x
$ 80.00 min.*
$
(해외/국제 – 배송 추적이 가능하며 익일배송이 보장되는 배송)**
E-mail(공식적 평가, 오직 3번째 수단)
(명시된 수의 우편물)
x
$ 10.00
$
FAX(공식적 평가, 오직 3번째 수단)
(명시된 수의 우편물)
x x
$ 10.00
$
* 우편 발송과 배송의 비용은 각각의 최소비용이 기재되어있습니다. 지역/크기/추가 무게에 따라 추가적인 비용이 청구되거나 반송될수 잇습니다.
지원자들은 추가적인 우송료가 발생할수 있음을 인지하여야 합니다.
** 배송 시간은 지역과 위치에 따라 달라질수 있습니다.
모든 비용합계
$
E5. 결제 (필수사항)
결제 수단을 선택하세요: (ACEI에게 지급 가능한 결제 항목으로 선택)
개인수표
자기앞수표
송금수표
체크카드 (Visa/MasterCard)
아메리칸 익스프레스
디스커버
마스터카드
비자
신용 카드로 결제시 다음 항목을 기재해주세요:
카드 번호: 만료날짜 :        /  
3-자리코드/CVVS [카드뒷면] Visa/MasterCard/Discover:
4-자리코드 [카드뒷면] American Express:
신용카드 청구서 주소:
동/읍/면
아파트 혹은 건물
우편번호
국가
카드소유자 성명 (please print):
이름
중간이름
ACEI가 외국 교육 기관 인증 평가 비용 영수를 위해 저의 신용카드/체크카드를 활용하는 것에 동의합니다.
Signature:__________________________
Date:__________________________
2
SECTION F. TERMS & CONDITIONS
1.
Altered orForgedAcademic Credentials
An evaluation will not be prepared and fees will not be refunded in the event ACEI determines, in its sole but reasonable discretion, that the educational credentials submitted for
evaluation have in any way been altered, tampered, modified or forged, whether by the applicant or any other third party (collectively, “Forged Credentials”). All documents
(photocopies/originals/official) provided become the property of AC EI. The institution, agency, or professional licensing board for which the evaluation is intended, U.S.government
agencies, and other evaluation services will be notified in the vent ACEI believes the credentials submitted for evaluation are Forged Credentials.
2.
Equivalency Recommendations & Guarantees
The U.S. educational equivalencies recommended in ACEI evaluation reports are in accordance with established guidelines and represent the considered judgments of qualified
evaluators. Applicant acknowledged having been informed that ACEI evaluation reports are advisory only and that ACEI’s recommended U.S. educational equivalencies may differ
or otherwise vary from advisories rendered or prepared by other third party academic evaluators or source institutions. ACEI evaluations and/or recommendations are not binding
on any institution, agency or third party. Additionally, applicant acknowledges having been informed and agrees that (1) although ACEI shall use reasonable efforts to determine the
validity of such information it receives, ACEI does not and cannot guarantee against ubmitting its report or evaluation and/or recommendations based on review of Forged
Credentials or other fraudulently altered items (whether the same has been sent directly to ACEI by the source institution or directly by the Applicant) and (2) ACEI shall have no
liability, duty, or obligation to applicant, Applicant Parties (defined below under Terms and Conditions Section 12) or any source institution in the event ACEI submits a report or
evaluation based on its review of any information or record that is ultimately deemed to be a Forged Credential despite ACEI’s reasonable determination that the same was not
Forged Credential at the time of initial submission or review. Without limiting any of the foregoing, ACEI does not guarantee that an applicant, agency, or any third party will agree
with its educational equivalency recommendations and assumes no responsibility for judgments or opinions made by an applicant, agency, or by any third party which disagrees
with its educational equivalency recommendations. In the event or any disputes between the applicant and ACEI, such disputes shall resolved by Mediation (as more particularly
described below under Terms and Conditions Section 12) and governed by California law and shall be subject to exclusive the jurisdiction of the Los Angeles County Courts without t
reference to.
3.
Evaluation Results
ACEI will not release the results of an evaluation on the telephone, email, or by facsimile (FAX) to the applicant. As indicated in Section 5 (Instructions), the fee for the evaluation
covers one official report and one duplicate unofficial copy. If you do not authorize the release of the official report to an institution, agency or third party, ACEI will send you the
official report in a sealed envelope which should be opened by the institution, agency or third party for which the evaluation is intended.
4.
Evaluation Review
After the evaluation has been completed, any questions regarding the evaluation report, based on the documents provided to ACEI with the initial application, must be submitted in
writing to ACEI within the first two (2) months of the completion date (“Grace Period”). Requests for review of the evaluation or questions concerning the evaluation submitted after
expiration of the "Grace Period" shall be subject to a $50.00 review fee.
5.
Re-Activation
If an applicant fails to provide all required documentation with the application within two (2) months of the date the application was received, Applicant acknowledges and agrees
that the application shall automatically be deemed as inactive. A $50.00 re-activation fee is required to process an inactivate file.
6.
Re-Evaluations
Re-evaluations of credentials not submitted with the original application request are treated as new evaluations and full payment with a new application for the evaluation report is
required. Requests to change a Report type (e.g. Basic Report to a Comprehensive Report or vice-versa), once an evaluation has been completed, requires the full evaluation fee
for the new type of Report.
7.
Refunds
Do not submit an application with insufficient documentation, as fees are non-refundable once an application for credential evaluation has been submitted to ACEI. A refund will be
made only when an applicant has paid to ACEI more than the required cost of the evaluation. No refund will be issued when application is cancelled. (See Terms and Conditions
#Section11)
8.
Insufficient Documentation
ACEI will contact the applicant or agent representing the applicant if additional information, documents, or fees are needed, as determined by ACEI. Subject to the terms and
conditions set forth under Section 5 above (Reactivation). The application will be kept in pending status until all documentation and fees have been received.
9.
Verification of Educational Credentials
ACEI, in its sole and absolute discretion, may elect to inquire about, clarify, and/or verify any and all educational documents submitted for evaluation to ACEI with the issuing
institution(s).
10.
Evaluation Expiration
The evaluation report and any documents submitted with an application are kept at the ACEI archive for a period of three (3) years from the date it was completed. Requests for
extra official reports of an evaluation that are more the three (3) years old shall be subject to a new application and submission of credentials and fees for a new evaluation.
11.
Cancellation
No refunds shall be made when an application is cancelled after the application form for evaluation has been submitted and a case file has been opened.
12.
Mediation
Applicant, on behalf of itself and its representatives, affiliates, and agents (“Applicant Parties”) hereby agree to mediate any dispute or claim arising between ACEI and Applicant
and/or Applicant Parties them out of this Agreement before resorting to any arbitration or other legal action. Mediation is a process by which parties attempt to resolve a dispute or
claim by submitting it to an impartial, neutral mediator, who is authorized to facilitate the resolution of the dispute, but who is not empowered to impose a settlement on the parties.
The parties agree to employ ADR Dispute Resolution Services in Los Angeles, California, or if an acceptable panel member from that organization is not available within 30 days of
the date of submission of this matter to mediation, then to another commercial mediator or mediation service mutually elected and mutually agreed to by Applicant and ACEI ("ADR
Services"). Mediation fees, if any, shall be divided equally among all of the parties involved and shall be paid to the mediator prior to the commencement of the mediation.
Evidence of anything said, any admission made, and any documents prepared in the course of the mediation, shall not be admissible in evidence, or subject to discovery in any
arbitration or court action, pursuant to California Evidence Code Section 1152.5. If any party commences any litigation or court action based on a dispute or claim to which this
Section 12 applies without first attempting to resolve the matter through mediation, then if such party prevails in the litigation or court action, the trial court shall have the authority to
allow such party to recover its attorneys' fees or costs of suit.
13.
Attorneys' Fees
In any mediation, litigation, or other legal proceeding which may arise between Applicant, ACEI and any third party that becomes a party to the subject matter set forth under the
application, the prevailing party shall be entitled to recover its costs, including costs and actual attorney’ fees in addition to any other relief to which such party may be entitled.
14.
Disclaimer
Applicant, on behalf of himself or herself and on behalf of Applicant Parties, acknowledges and agrees that ACEI has not and does not make any guaranty or warranty to Applicant
that it can fully safeguard against reviewing fraudulently tampered, altered, forged, or modified documents although ACEI shall use reasonable efforts to prevent doing so. No
express or implied guarantees are made by ACEI with respect to its ability to, at all times, accurately identify forged, fraudulent, tampered, or altered credentials, transcripts or other
items submitted to it for review.
15.
Release
Except for instances of the sole,and gross negligence and intentionally reckless misconduct of ACEI, the Applicant, for himself or herself and on behalf of Applicant Parties,
releases and forever discharges ACEI and its respective officers, directors, shareholders, members, managers, partners, agents, affiliates, successors, and assigns (collectively,
"ACEI Parties") from, and waives any right to proceed against ACEI or ACEI Parties for, any and all costs, fees, obligations, damages, expenses, claims, liabilities and demands
(including attorneys' fees and costs) at law or in equity, whether known or unknown, seen or unforeseen, rising out of or relating to, whether directly or indirectly, (i) this
Application; (ii) ACEI’s review of any information, credentials, transcripts or other documents whether provided by Applicant or the sourcing institution; (iii) any evaluation report or
recommendation made by ACEI; and (iv) any review, finding or recommendation made by ACEI based on its review of forged, fraudulent, tampered, altered or other forged
information it received and reviewed
Without limiting the foregoing, Applicant waives the provisions of Section 1542 of the California Civil Code, which provides: A GENERAL
RELEASE DOES NOT EXTEND TO CLAIMS WHICH THE CREDITOR DOES NOT KNOW OR SUSPECT TO EXIST IN HIS OR HER FAVOR AT THE TIME OF EXECUTING
THE RELEASE, WHICH IF KNOWN BY HIM OR HER MUST HAVE MATERIALLY AFFECTED HIS OR HER SETTLEMENT WITH THE DEBTOR.
3
Please check box:
I have read and agree to the Terms and Conditions listed in Section F.
SECTION G 신청자/신청자 대리인 자격 증명
G1. 본 신청서에 기재한 관련 정보는 모두 사실이고 완전하며 틀리지 않았음을 증명합니다..
G2. 섹션1부터 섹션5까지의 설명 및 수학 인증과 관련한 상위의 약관을 모두 읽었으며 이에 동의함을 증명합니다..
G3. ACEI에 의해 제공되는 평가는 참고용이며 이는 이를 활용하는 개인, 기관 혹은 단체를 구속하지 않고, ACEI는 평가 보고서의 활용으로 인한
결과와 관련된 손해나 피해의 책임으로부터 자유로움을 증명합니다.
G4. 본 신청서가 제출된 이후에는 취소가 불가능하며 모든 수수료는 반환 불가한 점을 알고 있습니다.
(이름, Printed)
(서명)
(날짜)
CHECKLIST
ACEI에 신청서 제출 전에, 다음의 질문에 답해주세요.:
ACEI신청서http://www.acei1.com/academicevaluation.html 에 기재된 절차와 정보를 읽으셨습니까.?
ACEI신청서의 모든 항목을 기재하고 서명하셨습니까?
귀하의 학력 인증 관련 서류를http://www.acei1.com/academicdocuments_ae.html- 로 모두 송부하셨습니까?
귀하의 학력 인증 관련 서류 모두에 대해 영문 번역본을 첨부하셨습니까?
수수료를 동봉하셨습니까?
APPLICATION MAILING – ACEI’s Mail Processing Centers:
Los Angeles Location*
Monterey Park Location*
West Los Angeles Location*
ACEI
ACEI
ACEI
9854 National Boulevard, Box 186
333 W. Garvey Street, Box 254-B
9461 Charleville Boulevard, Box 188
Los Angeles, CA 90034
U.S.A.
Monterey Park, CA 91754
U.S.A.
Beverly Hills, CA 90212
U.S.A.
*NOTE: This mailing handling facility accepts; DHL, FedEx, UPS, etc. No walk-ins.
Thank you.
Rev. 1/1/14
4
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