3、Birth(Month/Day/Year)CountryofCitizenshipCountryofBirth Applicant’spermanentaddressinhomecountryStreet City Province/State Country PostalCode Homephone(countrycode/citycode/number)Mobilephone(countrycode/citycode/number)E-mail HaveyouattendedanyofUCRprogramsbefore?Ifyes,whatwasyo
6、NATURE(Applicationcannotbeprocessedwithoutasignature.)“Icertifythatallapplicationinformationistrue.IacknowledgethatIamrequiredtopaythenon-refundableapplicationfeeevenifIdecidetowithdraworcancelmyenrollment.”Applicant’sSignature(申请者签字) Date