复旦大学附属中山医院ZhongshanHospitalFudanUniversity外籍.DOCVIP

PAGE PAGE ３ 该栏由中山医院填写For Hospital Use Only编号___________________ 该栏由中山医院填写 For Hospital Use Only 编号___________________ 类别___________________ 专业___________________ 推荐___________________ 经费___________________ Zhongshan Hospital Fudan University 外籍进修医生申请表 Application Form for International Doctors 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 as requested. Handwriting is not acceptable. Please write None if not applicable.