上海外国语大学外国留学生入学申请表

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1、照片Photo（3.5×4.5cm）大连外国语大学汉学院留学生入学申请表SchoolofChineseStudiesApplicationforInternationalAdmission本表可复印使用Ifnecessary,pleasemakeacopyofthisform,thenfillitout.请用中文或英文填写PleasewriteorprintclearlyinChineseorinEnglish.请在所选项目方框‘□’内划‘√’表示Pleaseindicatewith‘√’intheblankch

2、osen.个人基本信息PersonalInformation英文姓名EnglishPassportName姓Surname名Givenname中文姓名ChineseName出生日期(yy/mm/dd)DateofBirth性别Sex□男Male□女Female国籍Nationality出生地Birthplace护照号码PassportNo.有效期(mm/dd/yy)DateofExpiration婚姻状况MaritalStatus宗教信仰Religion电子邮箱E-mail特长/爱好Speciality/Hobb

3、ies教育背景EducationBackground教育层次Educationlevel学校名称Nameofschool在校时间(年/月/日)Timeatschool(mm/dd/yy)初中JuniormiddleschoolFromTo高中SeniorhighschoolFromTo大学UniversityFromTo地址Address家庭地址/电话PermanentHomeAdd./Tel.电话Tel.传真Fax.通知书邮寄地址/电话MailingAddressforAcceptanceLetter/Tel.

4、电话Tel.传真Fax.家庭成员FamilyMembers关系Relationship姓名Name职业Profession电话Tel.邮箱E-mail配偶Wife/Husband父亲Father母亲Mother来华学习信息InformationaboutstudyChinese汉语水平ChineseProficiency□零基础None□HSK成绩_________LevelIhavestudiedChinesefor____________ClassHours.(1classhour=45mins.)经费渠道A

5、pplyingfor□奖学金生ScholarshipStudent□校际交换交流生ExchangeStudent□自费Self-paying授课对象TeachingObjects□汉语进修生ChineseLanguageStudentforNon-degreestudy□本科生Bachelor’sDegreeCandidate□年级Grade:__________申请专业FieldofStudy:________________________________□硕士研究生Master’sDegreeCandida

6、te申请专业FieldofStudy:________________________________学习期限DurationofStudy自From_____年Year___月Month___日day至To_______年Year___月Month___日day住宿Accommodation住宿RoomReservation□双人间DoubleRoom□单人间SingleRoom□六人套间Suite（forsixpeople，3doublerooms）注：学生必须提前预定房间,住宿费及条件请查看当年招生简章。S

7、tudentsshouldbooktheroominadvance.Pleaseseethebriefintroductioneveryyearabouttheaccommodationfeesandcondition.根据中国相关规定，所有留学生入学后必须在国内办理人身意外保险。AlltheforeignstudentsshouldbuyoverseainsuranceaccordingtorelevantChineselaws.申请人保证上述各项中提供的情况是真实无误，在大连外国语大学学习期间，遵守学校各项规

8、章制度。Iherebyaffirmthatalltheinformationgiveninthisformistrueandcorrect;IshallabidebytheregulationsofDalianUniversityofForeignLanguages.推荐单位/个人Recommendedby(nameofagency):_________________电