广西机电职业技术学院外国留学生申请表.docVIP

广西机电职业技术学院外国留学生申请表 GUANGXI TECHNOLOGICAL COLLEGE OF MACHINERY AND ELECTRCITY APPLICATION FORM FOR INTERNATIONAL STUDENTS 姓 名 Full name 性 别 Sex 照 片 Photo 国 籍 Nationality 出 生 日 期 Date of birth 出 生 地 点 Place of birth 婚 姻 状 况 Marital status 护 照 号 码 Passport No. 职 业 Occupation 宗 教 信 仰Religious belief 工 作 或 学 习 单 位 Employer or school affiliated 通 讯 地 址 Mailing address 联 系 方 式 Tel. E-mail 按时间顺序列出你学习或正在就读的学校List in chronological order all schools you have attended or schools in which you are presently enrolled 学校名称Name of school 学习时间Dates(from-to) 文凭或证书certificates or degree received 你所具备的汉语基础 Describe your backgrounds of Chinese Language 拟学习专业（Fields you wish to study）：（Chinese）How long do you want to study? from to 是否患有下列病史（每项后面请回答“是”或“否”）：Have you ever had any of the following diseases or disorders endangering the public order and security? (Each item must be answered “yes” or “no”) 毒物瘾（Toxic mania）□ 无 精神病（Psychosis）□ 无 申请人签名 Signature 日 期 Date A 240RMB non-refundable check or money order payable to GXUN must accompany this Application and is valid only for the term indicated