南京理工大学来华留学生语言生申请表.doc

南京理工大学来华留学生语言生申请表 LANGUAGE STUDENT APPLICATION FORM FOR INTERNATIONAL STUDENTS NANJING UNIVERSITY OF SCIENCE AND TECHNOLOGY（NUST） 护照用名/Name in passport 姓/Family name 中文名 Chinese name 照 片 Photo 名/Given name 国籍 Nationality 出生地点 Place of birth 出生日期 Date of birth 年 月 日 /year /month /date 男 □Male 女 □Female 已婚□Married 未婚□Single 护照号码 Passport No. 宗教 Religion 最高学历/Highest Diploma 学习期限： 年 月至 年 月 Duration: from mo. yr. to mo. yr. 永久通讯地址/Permanent mailing address: 电话/Tel: 传真/Fax: E-mail: /Current address if different: 电话/Tel: 传真/Fax: E-mail: How did you learn about this program? 语言水平/Level of language Chinese □ none □ minimal □ conversational □ fluent English □ none □ minimal □ conversational □ fluent 已学习汉语 学时。/I have studied Chinese for hours. 1.护照复印件/Photocopy of passport □本人已附护照复印件/I have enclosed a copy of my passport. 2.报名费(不退还)/Application fee (non-refundable) □网上已支付订单号Paid Order ID of Application fee (RMB 500) from online payment system for international students of NUST ： ________________ 3.家庭主要成员/Family members 姓名/ Name 关系/ Relation 职业/ Employment 电话/ Tel: ______________ ______________ __________________ ______________ ______________ ______________ __________________ ______________ 我愿意到大学学习，在校学习期间保证做到下列各项/I am willing to study at Nanjing University of Science Technology. I pledge the following terms during my study: 遵守中华人民共和国法律 I will abide by the laws of the People’s Republic of China. 不从事学习目的以外的活动 I will not engage in activities bearing no relation with my academic pursuit in China. 遵守学校的各项规章制度，努力学习 I will study industriously and observe all rules and regulations of the University. 按时缴纳学校规定应该缴纳的各项费用 I will pay all expenses on time. 学生本人签字/Signature of the