广西机电职业技术学院外国留学生申请表

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1、广西机电职业技术学院外国留学生申请表GUANGXITECHNOLOGICALCOLLEGEOFMACHINERYANDELECTRCITYAPPLICATIONFORMFORINTERNATIONALSTUDENTS姓名Fullname性别Sex照片Photo国籍Nationality出生日期Dateofbirth出生地点Placeofbirth婚姻状况Maritalstatus护照号码PassportNo.职业Occupation宗教信仰Religiousbelief工作或学习单位Employerorschoolaffiliat

2、ed通讯地址Mailingaddress联系方式Tel.&E-mail按时间顺序列出你学习或正在就读的学校Listinchronologicalorderallschoolsyouhaveattendedorschoolsinwhichyouarepresentlyenrolled学校名称Nameofschool学习时间Dates(from-to)文凭或证书certificatesordegreereceived你所具备的汉语基础DescribeyourbackgroundsofChineseLanguage拟学习专业（Field

3、syouwishtostudy）：汉语（Chinese）□拟学习期限：从至Howlongdoyouwanttostudy?fromto是否患有下列病史（每项后面请回答“是”或“否”）：Haveyoueverhadanyofthefollowingdiseasesordisordersendangeringthepublicorderandsecurity?(Eachitemmustbeanswered“yes”or“no”)毒物瘾（Toxicmania）□无精神病（Psychosis）□无申请人签名Signature日期DateA

4、240RMBnon-refundablecheckormoneyorderpayabletoGXUNmustaccompanythisApplicationandisvalidonlyforthetermindicated