上海外国语大学外国留学生入学申请表-UniBG.docVIP

大连外国语大学汉学院 留学生入学申请表 School of Chinese Studies Application for International Admission 本表可复印使用 If necessary, please make a copy of this form, then fill it out. 请用中文或英文填写 Please write or print clearly in Chinese or in English. 请在所选项目方框‘□’内划‘√’表示Please indicate with ‘√’ in the blank chosen. 个 人 基 本 信 息 Personal Information 英文姓名English Passport Name 姓Surname 名Given name 中文姓名Chinese Name 出生日期(yy/mm/dd)Date of Birth 性别Sex □ 男Male □ 女Female 国籍Nationality 出生地Birthplace 护照号码Passport No. 有效期(mm/dd/yy)Date of Expiration 婚姻状况Marital Status 宗教信仰Religion 电子邮箱E-mail 特长/爱好Speciality/Hobbies 教 育 背 景 Education Background 教育层次Education level 学校名称Name of school 在校时间 (年/月/日)Time at school(mm/dd/yy)Junior middle school From To 高中Senior high school From To 大学University From To 地 址 Address 家庭地址/电话Permanent Home Add./Tel. 电话Tel. 传真Fax. 通知书邮寄地址/电话Mailing Address for Acceptance Letter/Tel. 电话Tel. 传真Fax. 家 庭 成 员 Family Members 关系Relationship 姓名Name 职业Profession 电话Tel. 邮箱E-mail 配偶Wife/Husband 父亲Father 母亲Mother 来华学习信息 Information about study Chinese 汉语水平Chinese Proficiency □ 零基础 None □ HSK成绩 _________Level I have studied Chinese for ____________Class Hours.(1class hour = 45mins.) 经费渠道Applying for □ 奖学金生 Scholarship Student □ 校际交换交流生 Exchange Student □自费Self-paying 授课对象Teaching Objects □ 汉语进修生Chinese Language Student for Non-degree study □ 本科生Bachelor’s Degree Candidate □ 年级Grade:__________ 申请专业Field of Study: ________________________________ □ 硕士研究生Master’s Degree Candidate 申请专业Field of Study: ________________________________ Duration of Study 自 From_____年Year___月Month___日day至 To_______年Year___月Month__