中山大学香港高校交换生住宿申请表-scu.docVIP

中山大学交换生申请表 Application for Admission as an Exchange Student at Sun Yat-sen University 个人信息Personal Information 姓名Name 性别Gender 近照 Recent Photo 身份证/护照号码ID/Passport No. 出生日期Date of Birth 出生地Place of Birth 国籍Nationality 电话Phone No. 手机Mobile 电子邮箱 E-mail Address 通讯地址 Correspondence Address 英语口语 Spoken English 书面英语 Written English 普通话 Mandarin Putonghua 广州话 Cantonese 书面汉语 Written Chinese 其他语言 Other Language s 教育信息Academic Information 就读学校Home University 专业Major of Study 年级Current Year of Study 学制 Years of Program 交换学习信息Exchange Details 请登陆/Item/7838.aspx及/CourseIntro/Index.aspx查看中山大学的专业及课程设置 拟来中山大学学习专业拟来中山大学学习时间 请在下面填写拟选修中山大学课程（所选课程仅供参考，最终课程选择在到达中山大学后进行） List below the courses you wish to take. Courses chosen here are just for preliminary reference. Courses registration has to be completed after your arrival at Sun Yat-sen University. 课程名称Course Title 课程名称Course Title 1 2 3 4 5 6 7 8 9 10 申请人声明Declaration 我声明本申请表格内的相关信息及其证明文件都是准确无误的。 I declare that the information given above and the documents in support of this application are accurate and complete. 申请人签名 Signature of Applicant 日期 Date 所属学校推荐意见Supporting Statement from Home University This section should be completed by the Registrar or Dean of the applicant’s home university 推荐人姓名 Name of Supervisor 职称 Title 签名 Approval Signature 日期 Date 中山大学相关学院（系）意见Approval by Sun Yat-sen University 同意 / 不同意 接收该名学生到我院（系）交换学习一个学期。 I approve / do not approve the admission of this applicant as an exchange student in my college department . 学院（系） Department 职称 Title 签名 Approval Signature 日期 Date 备注：该申请表应连同一份正式成绩单、一份身份证或护照复印件、3张大一寸彩色近照一起交到中山大学教务部。 Notes: This application should be submitted to Teaching Affairs Office of Sun Yat-sen University, together with an official academic transcript, one copy of Identification Card or Passport and 3 recent photos. 2