复旦大学外国留学生入学申请表-RMITGlobalMobility.DOCVIP

Shanghai Summer School 2017 Application Form for International Students 请申请人用中文或英文清楚地填写以下诸项，并打印。不接受手写。不能缺项填写，没有的请写“无”。 Please print all the information requested. Handwriting is not acceptable. Please write None if not applicable. 护照名 （英语） Full Name in English according to your passport 名 Given Name: 照片 PHOTO 中间名 Middle Name: :姓 Family Name: 中文名 Chinese Name (if you have) This box must be filled in no more than six characters. 国籍 Country of Citizenship 性别 Gender □ 男 Male □ 女 Female 出生日期 Date of Birth 年/Year 月/Mon 日/Date 出生地点 Place of Birth 国家Country ______________________ 城市 City ______________________ 护照号码 Passport No. 护照有效期 Passport valid until 年/Year 月/Mon 日/Date 婚姻状况 Marital Status 宗教信仰 Religion 职业 Occupation 工作/学习单位Employer/Institution 电话 手机 Tel Cell phone 电子邮件 E-mail 本国住址 Home Country Address 邮政编码 Zip Code 电话/传真 Tel/Fax 通知书邮寄地址 Mailing Address for the Admission Package 该地址若有变化，请及时通知留学生办公室。(Please inform School of International Studies of any change of this address in case the admission package can’t reach you.) c/o Anielle (Anie)?Leung Manager, Global Experiences (Short-term Programs) Global Experience Office, Global Development Portfolio? RMIT University Building 21, Level 2 | 124 La Trobe Street, Melbourne 3000 | Australiae:?anielle.leung@.au? 收件人 Receiver Anielle Leung 邮政编码 Zip Code 3000 电话/传真 Tel/Fax +613 9925 0170 推荐单位 Recommended by Anielle Leung 联系人 Contact person ANIELLE LEUNG 联系地址 Address Global Experience Office, Global Development Portfolio? RMIT University Building 21, Level 2 | 124 La Trobe Street, Melbourne 3000 | Australia 电话/传真