浙江工商大学外国留学生入学申请表（语言生专用）.doc

浙江工商大学外国留学生入学申请表（语言生专用） Application for Chinese Language Students to Zhejiang Gongshang University 姓 Family Name 名 Given Names 性别 Gender 照片 photo 国 籍 Nationality 中文名 Name In Chinese If there is one 护照号码 Passport No. 宗教信仰 Religion 婚姻状况 Marital Status 出生日期 Date of Birth 年 月 日 yy mm dd 出生地点 Place of Birth 最高学历 Highest education 职业Occupation 来华留学类别 Categories of students 长期生 / Long-term student □ 短期生 / Short-term student □ 交换生 / Exchange student □ 本国永久通讯地址和电话 / Permanent Home Country Address Tel 在华事务联系人或机构的姓名、地址和电话 Name, address and telephone number of the person or agency to act on your behalf in China 录取通知书邮寄地址和电话 / Address to Receive Admission Documents Tel 电子邮件E-mail 手机号码Cell phone No. 教工路校区 Jiaogong Road Campus □ 自行解决住宿 No accommodation provided Arranged by myself 下沙校区 Xiasha Campus □ 对住宿要求 Accommodation Requirement 双人间 Double Room Arranged by school □ 单人间 Single Room Arranged by school □ 自行解决 Off-campus Arranged by myself □ 预计学习期限： Study Duration: 自 年 月 日 至 年 月 日 From Year Month Day to Year Month Day 现汉语水平Present Chinese Level 好/Good □ 较好/Fair □ 一般/Passable □ 不会/None □ 学习汉语时间Time of learning Chinese 2 Years □ 1.5 Years □ 1 Year □ 0.5 Year □ Never □ 是否患有下列疾病？ Do you have any of the following diseases? 躁狂症Manic Paychosis □ 幻觉症 Hallucinatory □ 艾滋病 AIDS □ 妄想症Paranoid Psychosis □ 病毒性肝炎 Viral hepatitis □ 否No □ 申请人保证：1.上述各项中所提供的情况是真实无误的； 2.在中国学习期间遵守中国政府的法律和学校的规章制度，尊重中国的风俗习惯。 I hereby affirm that: 1. All the information above is true and correct; materials provided are genuine and reliable; 2. During my study, I shall abide by the laws and decrees of the Chinese Government, and respect customs of Chinese society. 3. During my study in Zhejiang Gongshang University, I shall abide all the rules and regulations of the university, 申请人签名： 日期： 年 月 日 Applicant’s Signature Date: yy mm dd 无此签名，申请无效/The application is invalid without signature