上海交通大学 - 法国马赛KEDGE商学院.doc

上海交通大学 - 法国马赛KEDGE商学院 双学位高级管理人员工商管理硕士 报名表 Shanghai Jiao Tong University – Euromed Management Ecole de Marseille Dual Degree Executive MBA Application Form 目录 CONTENTS P1. 目录和填表须知 Contents and Instructions P3. 报名表 Application Form P9. 付款方式 Payment 填表须知 INSTRUCTIONS 为了使您的报名有效，请您按期提交完整的报名表及所需材料。我们承诺对您所提交的信息严格保密。 Applications will only be reviewed when they are complete plus all the necessary material. The information you provide in this application form will be treated as strictly confidential. 本报名表分中、英文两种语言，请选择其中一种语言填写即可。The application form has two languages (Chinese and English). Please choose any kind of language to fill. English application form is compulsory for applicants of Dual-degree AEMBA Program with KEDGE Business School. 报名表请在参加辅导或考试当天提交(包含问答题及自命题论文、直接领导推荐信、权威人士推荐信)，同时请附学历/学位证书及身份证复印件。 Please send the application form on the examination day (including question answers, thesis, recommendation form of immediate supervisor, and recommendation form of authoritative figure.) and provide copies of degree certificate or diplomas and ID card. 上海交通大学 - 法国马赛KEDGE商学院 双学位高级管理人员工商管理硕士 报名表 Shanghai Jiao Tong University – Euromed Management Ecole de Marseille Dual Degree Executive MBA Application Form 请贴上清晰的身份证复印件 Please attach a clear copy of your ID card  请附上名片正面 Please attach your business card (front) 请附上名片反面 Please attach your business card (back)  您最早是从哪个渠道了解到双学位EMBA项目的？ From which source did you hear about the dual-degree EMBA program? 报纸杂志和网上广告（请列出名称）：Newspaper and magazine, please specify the name: 宣传资料 Brochure of EMBA 本公司人力资源部 HR department of your company 校友 Alumni of Euromed Management or Shanghai Jiao Tong University 同事或朋友 Colleagues or Friends 其他（请注明） Other source, please specify个人信息 姓名 中文名 性 别 男 女 国 籍 (或地区) 请帖 一张一寸 免冠近照 英文名 身份证（或护照）号 籍贯 政治面貌 出生日期 民族 婚姻状况