外国留学生学习申请表

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1、外国留学生学习申请表APPLICATIONFORMFORFOREIGNERSWISHINGTOSTUDYATHEBEIUNIVERSITYOFSCIENCE&TECHNOLOGY姓名/Name:性别/Sex:□男/Male□女/Female国籍/Nationality:护照号码/PassportNo:出生日期：年月日DateofBirth:出生地点/PlaceofBirth:家庭地址和电话/HomeAddressandTelephoneNumber:最后学历/HighestAcademicDegreeObtained:职业/Occupation:婚否/Mari

2、talStatus:国外工作或学习单位/EmployerofSchoolAffiliated:汉语水平/ChineseLevel:□excellent□fair□good□poor□no来校学习专业/FieldofStudyinHEBUST身份/Status:□语言生/LanguageStudent□普通进修生/GeneralScholar□高级进修生/AdvancedScholar□研究学者/ResearchingScholar□本科生/Undergraduate□硕士生/Master’sDegreeCandidate学习期限：自年月至年月Duraton:F

3、romYearMonthToYearMonth推荐单位和电话/Reference:经济来源/Sourceoffunding:□奖学金/Scholarship□自费：Self-support□其他/Other经济担保人或机构/Financialsupportwillbeprovidedby:(DuplicationofThisFormisAvailable)此表请寄：Plaeasereturnthisformto:050018050018中华人民共和国ForeignAffairsOffice河北石家庄市裕华东路70号河北科技大学HebeiUniversityof

4、Science&Technollogy,国际合作处P.R.CHINA电话：86-0311-88623762Tel:86-0311-88623762传真：86-0311-88623762Fax:86-0311-88623762E-mail:liuxuekeda@163.comE-mail:liuxuekeda@163.com本人简历/Curriculumvitae单位时间（年月——年月）职务PreviousandCurrentEducation&EmployerYearsAttended(from/to)Position家庭主要成员/Familymembers姓

5、名/Name关系/Rel电话和传真/Tel.&Fax担保人/YourreferenceincaseofemergencyduringyourstayatHebust.姓名/Name:国籍/Nationality:与本人关系/Relationshiptotheapplicant:永久通讯地址/Address:单位/Nameofyouremployer:电话/TeL(住宅/home)(办公室/office)传真/Fax:E-mail:我愿意到河北科技大学学习，在校学习期间保证做到下列各项：1、遵守中华人民共和国法律。2、不从事学习目的以外的活动。3、遵守学校的各项

6、规章制度，努力学习。4、按照缴纳学校规定的学生应缴纳的各项费用。IamwilingtostudyatHebeiUniversityofScience&Technology.Ipledgethefollowingtermsduringmystudy:1.IwillabidebythelawsofthePeople’sRepublicofChina.2.IwillnotengageinactivitiesbearingnorelationwithmyacademicpursuitinChina.3.Iwillstudyindustriouslyandobserve

7、allrulesandregulationsoftheUniversity.4.Iwillpayallexpensesontime.学生本人签字/Signatureoftheapplicant:日期/Date: