南京医科大学来华留学生入学申请表.doc

南京医科大学来华留学生入学申请表 Nanjing Medical University Application Form for International Students * 入学在线申请系统中申请编号 * Application No. in online application system 护照用名Name on passport 姓/Family name 中文名Chinese name 照 片 Photo 名/Given name 国 籍 Nationality 出生地点 Place of birth 出生日期 Date of birth 年 月 日: YY-MM-DD: 男 □Male 女 □Female 已婚□Married 未婚□Single 护照号码 Passport No. 宗教 Religion 最后学历 Highest education 现职业 Current or latest occupation 现学校或工作单位 Current or latest school or employer 境外永久通讯地址/Full?non-Chinese permanent postal address: 电话/Tel: ? 传真/Fax: E-mail: 录取通知书接收地址/Address to receive the admission package, if different from above: 电话/Tel: ? 传真/Fax: E-mail: 申请学习时间 Intended program at BLCU 从/from 年/Y 月/M 日/D 到/to 年/Y 月/M 日/D 现有汉语水平/ Tick the appropriate box to indicate the number of Chinese words you know. ? A None B about 800 C about 1500 D about 2500 E ?about 3500 F ?about 4000 ?强化班只限 A、B、C、D四个水平/The Intensive Program is offered only to students in Chinese level A, B, C and D 学生类别/Program applied for: □Refined Chinese ; □experiencing chinese □Business Chinese; □HSK Intensive Training course □Short term program（A 4 weeks; B 5 weeks; C 6 weeks; D 8 weeks; E 12 weeks） ?本人简历(从高中开始)/Curriculum vitae（Starting from high school） 单位 时间（年/月——年/月） 职务 Previous and current educational institute employer years attended?(from/to) Position