WORLDHEALTHORGANIZATION分析.docVIP

WORLD HEALTH ORGANIZATION FELLOWSHIP APPLICATION IMPORTANT Please answer each question clearly and completely. Detailed answers are required to ensure the most appropriate study arrangements. Before attempting to fill in this form please read the instructions attached. Please submit four typewritten copies. If necessary, additional pages of the same size may be attached. Please complete in a language appropriate to the country of study. Be sure to sign and date the form. Attach recent photograph here 1. PERSONAL DATA 1) Family name (Surname) Qian First/other names Bohua ( Dr √ Mr ( Mrs (Miss ( Ms 2) City and country of birth Beijing, China Date of Birth 07/04/1974 (day/month/year) Nationality Chinese Marital status Married Sex √ M ( F 3) Mailing Address Department of International Cooperation, MOH, 1 Nanlu Xizhimenwai Beijing 100044, P.R.China Office telephone 8610Office fax 8610Office telex 4) Home Address 207, Building 3, JINDIAN Garden Beijing P.R.China Home telephone 8610Home fax 8610 5) Name and address of person to be notified in case of emergency XING Jun, Department of International Cooperation, MOH, Beijing Office telephone 8610Fax 8610 Telex Relationship Colleague Home telephone Fax 2. LANGUAGE ABILITY MOTHER TONGUE: Chinese 1) For language(s) other than mother tongue enter below the appropriate letter from the code system at right to indicate your level of skill. Note that you may be required to take a language proficiency test. Understanding of spoken language A I understand at the level of university discussion B I understand at the level of normal conversation Language Understand Speak Read Write C I understand simple daily usage Speaking ability A I speak at the level of university discussion English B B A B B I speak well enough