北京师范大学―香港浸会大学联合国际学院.doc

北京师范大学―香港浸会大学联合国际学院 Beijing Normal University–Hong Kong Baptist University United International College (UIC) Notes注意: All information provided will be treated in strictest confidence. 所有数据将绝对保密。 You are advised to make a copy of the completed application for your own reference. 请将填妥之申请表格影印一份以供个人参考。 Please return the completed form to 请将填妥之表格交回或寄回: A101, Li Ze Building, Zhuhai Campus of Beijing Normal University, Tangjiawan, Zhuhai, Guangdong Prov., Postcode: 519085, China 中国广东省珠海巿唐家湾北京师大学珠海分校励泽楼A101. 邮编：519085 PR Ref Post Applied for 申请职位 Department/Office 学系/部门 Date Available 可履任日期 PR / Ia. PERSONAL PARTICULARS 个人资料 Surname 英文姓氏 Other Name 英文名字 Name in Chinese 中文姓名 Prof. Dr. Mr. Mrs. Ms. Miss 教授 博士 先生 太太 女士 小姐 Correspondence Address 通讯地址 Off. Tel. 办公室电话 Res. Tel. 住所电话 Mobile 手提号码 E-mail 电邮地址 Fax No. 传真号码 *Identity Card/Passport Number *身份证/护照号码 Date of Birth 出生日期 Language(s) Used 可操的语言 Your own Assessment 语文能力 Written 书写 Spoken 言谈 First Language 第一语言 Other Language(s) 其它语言 Ib. FOR OVERSEAS APPLICANTS ONLY 海外申请者填写 a. If you are currently in PRC, what kind of visa have you obtained from the Chinese Government: 台端如在中国內地，所获中国政府签发之证件为： Employment Visa 工作签证 Dependant Visa 家属签证 Others 其它 b. Visa Reference 签证编号： c. Visa Expiry Date 签证到期日：  II. EDUCATION AND ACADEMIC QUALIFICATIONS 学历 For Office Use Dates 日期 (M/Y) (月/年) Full Name Location of Tertiary Institutions Attended/Attending Field of Study Abbreviation e.g. BA, PhD Qualifications Obtained (Pls. indicate the abbreviation before description) Date of Award (M/Y) Copy Verified From 由 To 至 曾/现就读院校名称及地址 修读范围 所得资格/文凭/学位 颁授日期 (月/年) 已核对副本 III. PROFESSIONAL QUALIFICATIONS 专业资格 Membership obtained from professional association or public examination 由专业学会或公开考试获得