南华大学外国留学生本科学习申请表.doc

南华大学外国留学生本科学习申请表 APPLICATION FORM FOR FOREIGNERS WISHING TO STUDY IN UNIVERSITY OF SOUTH CHINA FOR UNDERGRADUATE PROGRAMS 地址：中国湖南南华大学国际交流与合作处 421001 电话/Tel: +86734-8281648 Add.：Office of International Exchange and Cooperation 传真/Fax: +86734-8280805 University of South China 电子邮件/E-mail: nhwsb@nhu.edu.cn Hengyang 421001, P.R. China 1. 护照用名/Full legal name 名/FIRST MIDDLE 姓/SURNAME 2. 中文姓名/Chinese name 姓/SURNAME 名/FIRST 3. 国籍/Country of citizenship 4. 婚姻状况/Marital status 5. 护照号码及种类/Passport No. Type 6. 性别/Gender ( 男/Male ( 女/Female 7. 出生日期(年/月/日)/Date of birth(y/m/d) / / 8. 出生地点/Place of birth 州/省/STATE/PROVINCE, 国家/COUNTRY 9. 永久通讯地址/Permanent home address 传真/FAX 电话/TEL. 10. 目前通讯地址/Current mailing address if different from permanent address 传真/FAX 电话/TEL. 电子邮件/E-MAIL 11. 申请专业 (请按照招生专业目录填写) / Field of study, please refer to the Catalog of Programs ⑴ ⑵ 如未被以上录取是否调剂到本校其它专业’t agree 12. 学习期限/Duration of Study 自/from 年/year 月/mon