江苏大学外国留学生学习申请表.doc

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1、盐城工学院外国留学生入学申请表APPLICATIONFORMOFYANCHENGINSTITUTEOFTECHNOLOGYFORINTERNATIONALSTUDENTS地址:中国江苏省盐城市希望大道中路1号邮编(ZipCode):224003Address:YanchengInstituteofTechnology,No.1MiddleXiwangAvenueRoad,Yancheng,JiangsuProvince,China224003电话(Tel):+86-515-88168666网址(Website):http://www.ycit.cn/1.个人情况/Personalstate

2、ment护照用名FulllegalName(SameasinPassport)姓/Familyname:照片Photo3cm×4cm名/Givenname:中名/Middlename:中文姓名InChinese(ifany)国籍/母语:Nationality/NativeLanguage/护照号码/有效期PassportNo./Validityuntil:年yy月mm日dd性别/Gender:¨男/Male¨女/Female宗教/Religion:婚姻状况MaritalStatus□单身Single□已婚Married出生日期（年/月/日）DateofBirth(Y/M/D)年/Year月

3、/Month日/Day出生地点PlaceofBirth城市/州/省/City/State/Province:特长爱好SpecialSkillsorInterest国家/Country:永久通讯地址/PermanentHomeAddress:电话/Tel:传真/Fax:Email:目前通讯地址/CurrentMailingAddressIfDifferentfromPermanentAddress:电话/Tel:传真/Fax:Email:2.语言能力和学习计划/LanguageProficiencyandStudyPlan语言能力（请自评“很好/好/一般”）/LanguageProficie

4、ncy(Pleaseevaluateyourabilityas“Excellent/Good/Fair”)读/reading说/speaking写/writing中文/Chinese英语/English来华留学申请类别CategoriesofForeignStudents¨本科生/UndergraduateStudent¨硕士研究生/Master’sCandidate¨语言进修生/ChineseLanguageStudent¨短期进修生/Short-termVisitingStudent(lessthan6months)¨长期进修生/Long-termVisitingStudent学习专业

5、或研究课题（请参见招生专业目录）FieldofStudy,PleaseRefertotheCatalogofPrograms学习时间/Durationofstudy从/From到/to在华学习或研究的详细计划，请另附页。StatementofyourstudyorresearchinJiangsuUniversity,usingaseparatesheet.3.本人学历(从高中开始)/EducationalBackground(StartingfromHighSchool)校名/SchoolName地点/Location专业/Major时间/DatesAttended所获学位/Degree

6、Awarded4.本人工作经历(从当前工作开始)/WorkExperience(StartingfromCurrentPosition)工作单位/Employer地点/Location时间/DatesAttended职位/Position5.曾发表的作品和论文/PublicationsandThesis6.经济保证人/FinancialSponsor经济保证人姓名/FinancialSponsor'sName地址/Address电话号码/Tel与申请人关系/RelationshipwiththeApplicant保证人签名/Sponsor'sSignature7.在华事务联系人或机构/Pe

7、rsonorAgencytoActionYourBehalfinChina姓名或机构名称/NameofThePersonorAgency联系地址/Address联系电话/Telephone8.派遣方或推荐人意见/CommentofSponsororRecommendingparty意见/Comment签名/Signature日期/Date9.申请人保证/Iherebyaffirm:1．申请表中所填写的内容和提供的材料真实