重庆大学外国留学生入学申请表.doc

重庆大学外国留学生入学申请表 APPLICATION FORM FOR INTERNATIONAL STUDENTS, CHONGQING UNIVERSITY 请申请人用中文或英文认真填写下列诸项，打印并签名。除签名外，其余均不接受手写。 Please fill in the form completely either in Chinese or English, then print and sign it. Handwriting is unacceptable. 照片 Photo 1.申请人简况/Personal information 护照用名/Full name identical with your passport: 姓/Family name: 名/Given Name: 中间名/Middle name (in initial letter): 中文名/Chinese name :______________ 性别/Sex: □ 男/Male □ 女/Female 国籍/Citizenship: _________ 护照号码/Passport No:____________________ 出生日期/Date of birth___________年/Year______月/Month______日/Day 出生地点/ Country of birth:_________________ 婚姻状况/Marital State: □ 单身/single □ 已婚/married □ 离异/divorced 宗教信仰/Religion if applicable:______________________ _ 现职业和工作单位/Current Occupation Employer: _____________________________________________________________________________ 2. 联系方式 /Contact information 本人联系方式/ Applicant’s contact information: 邮寄地址/Mailing Address :______________________________________________________ 邮编/Zip code:_____________________________电话/Tel:______________________________ _ 传真/Fax:_________________________________ E-mail:_______________________________ 紧急情况下联系方式/Contact information in emergency: 联系人姓名/Name of Contact person: ___________________________________________________ 与申请者的关系/Relationship with the applicant:____________________________________________ 邮寄地址/ Mailing address: __________________________________________________________ 邮编/Zip code:_____________________________电话/Tel:_______________________________ 传真/Fax:_________________________________ E-mail:________________________________ 3.受教育情况/Educational background (请从高中阶段开始/Starting from the high school education) 学 校 在校时间 主修专业 所获文凭 Institutions Year attended (from/to) Fields of study Diploma received