江苏科技大学外国留学生入学申请表applicationformfor.docVIP

江苏科技大学外国留学生入学申请表 Application Form for at JUST 注意事项Note: 申请人须用中文填写或用英文印刷体填写 in Chinese or English print only 个人信息PERSONAL DETAILS （Please use BLOCK letters 姓Family Name: 名First Name: 其他名字Other Names - 性别Gender: 男Male 女Female 宗教信仰Religion 出生日期 Date Of Birth: 出生地点 Place Of Birth 护照号码Passport 有效期Valid Until 国 籍Nationality 母语First Language Above information must be SAME as shown in passport. 联 系 方 式 Contact Details: 邮寄地址Mailing Address 家庭地址Home Address If different from Mailing address 电话Telephone 传真Facsimile 手机Mobile 电子邮件Email 学术背景ACADEMIC BACKGROUND Please list from High School, including any currently being undertaken 学位证书Qualification/Award 学校 School 地点 Location 主修 Major 学习时间 Duration（--to--） Please attach certified copies of documentary evidence. 语言能力LANGUAGE PROFICIENCY If your first language is not Chinese or English, you have to complete at least one of the following within the last two years documentary evidence, including certified copies of results, must be attached Chinese HSK Year Score English TOFEL Year Overall score Reading Writing Listening Speaking IELTS ACADEMIC Year Overall score Reading Writing Listening Speaking Others If you do not meet JUST’s Language requirements, are you interested in studying Chinese at JUST for meeting the lowest entry requirement? YES NO 工作经历WORKING EXPERIENCE 雇佣时间 Employment Dates（---to---） 全职或兼职 Full-Time or Part-Time 雇佣单位和地址 Employer Name and Location 职位名称 Position Title 学习计划STUDY PLAN AT JUST 留学类别category are you applying? Please tick one 学历生 Degree 博士/Doctoral Candidate 硕士/Master Candidate 本科/Bachelor 非学历生Non-Degree 交换生/Exchange Students 申请专业和研究方向 please refer to JUST Enrolment Guideline 预计来华时间 Wstimated time to study in China 经济来源FINACIAL SUPPORT 自费 Self-Support 保证人姓名GUARANTORS Name 电话/传真 Tel/ Fax 地址Address 保证人签名Guarantor’s signature 奖学金 Scholarship 奖学金名称Scholarship Name 提供奖学金单位Provided by: 电话/传真 Tel/Fax E-mail 在华事务联系人或机构Person or Agency to Action