长江大学外国留学生入学申请表

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1、长江大学外国留学生入学申请表YANGTZEUNIVERSITYINTERNATIONALSTUDENTSAPPLICATIONFORADMISSION请完整填写申请表Pleasefillinapplicationcompletely.1.个人情况APPLICANTINFORMATION姓名NameinEnglish（SameasinPassport）姓Familyname名Givenname性别Gender国籍Nationality宗教信仰ReligiousAffiliation出生日期月日年BirthDate

2、:MonthDayYear出生地BirthPlace:护照号码有效期至月日年PassportNo.ValidUntilMonthDayYear婚姻状况Maritalstatus:母语Nativelanguage:永久通信地址Permanentaddress:邮寄地址：MailingAddress(Ifdifferent):电话Tel:传真Fax:Email:最后学历HighestEducationlevel:职业Occupation:工作或学习单位Institutionofstudyorwork:2.申请情况A

3、DMISSIONSINFORMATION目前汉语水平CurrentChineseLevel汉语水平考试成绩HSKScore:没有汉语水平考试成绩，汉语水平为IhavenoHSKscore,myChineselevelis:优秀Excellent一般Good不会None学习计划Myintendtostudy拟学专业Anticipatedprogramofstudy学习期限自月年至月年DurationofStudy:学生类别StudentStatus□语言进修生/ChineseLanguageStudentsþ本科

4、生/Bachelor□硕士生/Master□博士生/Doctor□普通进修生/GeneralScholar□高级进修生/SeniorScholar经费来源Sourceoffunding□奖学金Scholarshipþ自费/Self-Supporting□交换/Exchange推荐人Reference姓名Name电话Tel:传真Fax:Email:2-2-3.教育背景EDUCATION期间DatesofAttendance学校(自高中开始)SchoolName（SinceHighSchool）证书文凭Certif

5、icateorDiploma4.工作背景EMPLOYMENT期间DatesofAttendance单位名称EmployerName电话Tel:5.爱好与荣誉HOBBIESANDHONORS□篮球Basketball□足球Football□田径Track&Field□网球Tennis□排球Volleyball□其他技能说明Otherspecialskills(specify)_____________________________□荣誉说明Honors(specify):____________________

6、_________6.家庭情况FAMILYINFORMATION关系Relationship姓名Name年龄Age职业Occupation电话TelEmailA．申请人是否被暂停学籍或开除过？Haveyoueverbeensuspendedordismissedfromaneducationalinstitutionforanyreason?Yes□NoþB．申请人是否因违反法律被判刑或入狱？Haveyoueverbeenchargedwithaviolationoflawwhichresultedinprob

7、ation,ajailsentence？Yes□Noþ若A和（或）B回答是，请说明IfyestoAand/orB,pleaseattachyourexplanationonaseparatepage.申请人保证上述各项中所提供的情况是真实无误。申请表填写内容作假，取消录取和入学资格。Icertifythattheaboveinformationistrueandcorrect.Falsificationofinformationonthisapplicationcouldjeopardizeacceptance

8、andenrollment.申请人签名日期:Signature:Date:2-2-