复旦大学外国留学生入学申请表-复旦大学外国留学生工作处.docVIP

PAGE PAGE １复旦大学外国留学生入学申请表Application Form for Foreigners Wishing to Study at Fudan University该栏由学校填写/This is to be filled out by the university.类别专业HSK语言申请编号请申请人用中文或英文印刷体认真填写以下诸项，字迹要清楚。不能缺项填写，没有的请写“无”。Please fill in the form in standard Chinese or English carefully and clearly. Please write None if not applicable. 护照名（英语）Full Name with Middle Initialin English according your passport照片PHOTO中文名Chinese Name必须填写，不超过6个汉字。 This has to be filled in no more than six characters.国籍Country of citizenship性别Gender出生日期Date of birth年/yy 月/mm 日/dd出生地点Place of birth护照号码Passport No.护照有效期Valid until年/yy 月/mm 日/dd婚姻状况Marital Status宗教信仰Religion职业Occupation工作单位Employer电话/传真Tel/Fax手机Cell phone电子邮件E-mail家庭住址Home Address邮政编码Zip Code电话/传真Tel/Fax通信地址Mailing address收件人Receiver邮政编码Zip Code电话/传真Tel/Fax推荐单位Recommended by联系人Contact person联系地址申请人签名/申请人签名/Signature of the applicant：电话/传真Tel/Fax学习经历（高中起填写） Educational background（From High School）学校名称Institutions在校时间Years attended (from/to)主修专业Field of study所获文凭Diploma received——————————语言能力，请用“好，一般，不会”评价。 Language proficiency（Good/Average/None）汉语Chinese HSK：_____________ ; C. TEST：_____________英语EnglishTOEFL(score)________； GMAT_________； GRE_________； IELTS_________其他Other学习计划 Study Plan at Fudan (please click what you plan to study)申请类别Category专业或专题 Subject or field of study指导教师Advisor学位生DEGREE□ 博士研究生Doctoral candidate专业/Major：研究方向Research field：欲完成的论文题目Topic of your planned thesis：□ 硕士研究生Master candidate专业/Major：研究方向Research field：□ 本科生Undergraduate志愿Choice 1： 志愿Choice 2：考试地点： □上海/Shanghai □北京/Beijing □首尔/Seoul Place of test： □东京/Tokyo □新加坡/Singapore □吉隆坡/Kuala Lumpur是否服从调剂/Accept other majors or not?： □ 是/Yes □ 否/No是否读汉语言（对外）专业？Will you choose Chinese language undergraduate program (to foreigners)? □ 是/Yes