东北师范大学外国留学生学习申请表

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1、东北师范大学外国留学生学习申请表APPLICATIONFORMFORINTERNATIONALSTUDENTSNORTHEASTNORMALUNIVERSITY1.护照用名/Fulllegalname姓/FAMILYNAME名/GIVENNAME照片Photo2.中文姓名/Chinesename姓/FAMILYNAME名/GIVENNAME3.性别/Gender男/Male□女/Female□4.国籍/Nationality5.护照号码/PassportNo.6.婚姻状况/Maritalstatus未婚/Single□已婚/Ma

2、rried□7.出生日期(年/月/日)/Dateofbirth(y/m/d)//8.出生地点/Placeofbirth9.最后学历/Highestacademicdegreeobtained10.职业/Occupation11.工作或学习单位/Employerorplaceofstudy12.永久通讯地址及联系电话/Permanenthomeaddress&telephone13.来华学习类别/Categoryofforeignstudent语言生/Languagestudent¨本科生/Bachelor’scandidate¨

3、硕士研究生/Master’scandidate¨博士研究生/Doctoralcandidate¨普通进修生/Generaladvancedscholar¨高级进修生/Senioradvancedscholar¨研究学者/Researchscholar¨14.来华学习专业或研究课题(请参见招生专业目录)/Fieldofstudy(pleaserefertotheProgramsCatalog)15.学习期限/Duration自/from年/year月/month至/to年/year月/month16.汉语水平考试(HSK)成绩/C

4、hineselanguageproficiencylevel17.本人学历(从高中开始)/Educationalbackground(startingfromseniorschool)校名/Nameofschool地点/Location专业/Major时间/Duration所获学位/Degreeawarded18.曾发表的作品或论文/Publicationsandthesis219.在华学习或研究的详细计划（可另附页）/StatementofyourplannedstudyorresearchinChina(attachasep

5、aratesheetifnecessary)20.在华事务联系人或机构/PersonoragencytoactonyourbehalfinChina联系地址/Address联系电话/Telephone电子邮件/E-mail21.经济保证人姓名/Financialsponsor’sname联系地址/Address电话号码/Telephone电子邮件/E-mail与申请人关系/Relationshiptotheapplicant保证人签名/Sponsor’ssignature申请人保证/Iherebyaffirm:①上述情况真实无误

6、。Ihavereviewedtheaboveinformation,anditistrueandcompletetothebestofmyknowledge.②在中国学习期间遵守中国政府的法律和学校的规章制度。IshallabidebythelawsoftheChinesegovernmentandtheregulationsoftheuniversity.③服从东北师范大学的教学安排。IshallacceptthearrangementsofNortheastNormalUniversityofChinaduringmystu

7、dy.申请人签字/Applicant’ssignature日期/Date注：申请表填写不完整或未按要求提交有关材料，将会延误对此申请的审理时间。Attention:Failuretocompleteapplicationorfailuretosubmitrequiredsupportingdocumentswilldelaytheprocessofyourapplication.2