安康学院外国留学生入学申请表.doc

安康学院外国留学生入学申请表 Ankang University International Students Application Form 姓名 Name 姓 Family Name (please print) 照片 Photo 名 Given Name (please print) 国籍 Nationality 性别 Gender 护照号码 Passport No. 护照有效期 Valid until 出生日期 Date of Birth 年 月 日 Year Month Day 婚姻状况 Marital Status 出生地 Place of Birth 宗教信仰 Religious Belief 健康状况 health Physical Status 最后学历 Highest Academic Degree Obtained 专业 Major 现学习或工作单位 Current Employer or College Affiliated 职业 Occupation 永久通讯地址 Permanent Address 本人联系方式 My Contact Information 电话Tel./Mobile 传真Fax No. 电子邮件 E-mail 紧急事务第一联系人 Contact on Emergencies 姓名Name 电话Tel./Mobile 电子邮件 E-mail 本人简历/Education Work Experience 汉语水平 Proficiency of Chinese Language 汉语学习时间/Time for Chinese Learning: hours HSK等级/Band of HSK Achieved: 拟申请学习的专业 Subject or Field of Study I Apply for 申请学习时间 Duration 自/From: 年/Year 月/Month 日/Day 至/To: 年/Year 月/Month 日/Day 留学类别/Categories of International Students I Apply to be in □ 本科生/Bachelor’s Degree Candidate □ 汉语进修生/Chinese Language Student □ 普通进修生/General Scholar □ 高级进修生/Senior Scholar 费用来源 Financial Support □ 奖学金/Scholarship □ 自费/Self-supporting □ 其他/Other 在华期间事务担保人姓名、联系电话及联系地址: Name,Tel Address of the Guarantor Charging Your Case in China 担保人签字/Guarantor’s Signature: 日期/Date: 以下材料请于提交申请表格时一起提供 Please offer the following materials with the application form. 经毕业院校确认的毕业证书、学历证书复印件 Graduation certificates and the degree certificates (copies; authorized by graduate university) 经毕业院校确认的成绩单复印件 Confirmed transcript (copies; authorized by graduate university) 汉语水平证明/英语水平证明(学历生需要提供) Chinese level certificate/ English level certificate( undergraduate programmes applicant need to offer) 学习或研究工作计划 Study or research description 护照复印件 Copy of your passport(the page with personal information on it) 6. 担保人有效证件复印件 The copies of Sponser’s valid ide