安康学院外国留学生入学申请表.doc

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1、安康学院外国留学生入学申请表AnkangUniversityInternationalStudentsApplicationForm姓名Name姓FamilyName(pleaseprint)照片Photo名GivenName(pleaseprint)国籍Nationality性别Gender护照号码PassportNo.护照有效期Validuntil出生日期DateofBirth年月日YearMonthDay婚姻状况MaritalStatus出生地PlaceofBirth宗教信仰ReligiousBelief健康状况healthPhysicalStatus最后学历HighestAcad

2、emicDegreeObtained专业Major现学习或工作单位CurrentEmployerorCollegeAffiliated职业Occupation永久通讯地址PermanentAddress本人联系方式MyContactInformation电话Tel./Mobile传真FaxNo.电子邮件E-mail紧急事务第一联系人ContactonEmergencies姓名Name电话Tel./Mobile电子邮件E-mail本人简历/Education&WorkExperience汉语水平ProficiencyofChineseLanguage汉语学习时间/TimeforChines

3、eLearning:hoursHSK等级/BandofHSKAchieved:拟申请学习的专业SubjectorFieldofStudyIApplyfor申请学习时间Duration自/From:年/Year月/Month日/Day至/To:年/Year月/Month日/Day留学类别/CategoriesofInternationalStudentsIApplytobein□本科生/Bachelor’sDegreeCandidate□汉语进修生/ChineseLanguageStudent□普通进修生/GeneralScholar□高级进修生/SeniorScholar费用来源Fina

4、ncialSupport□奖学金/Scholarship□自费/Self-supporting□其他/Other在华期间事务担保人姓名、联系电话及联系地址:Name,Tel&AddressoftheGuarantorChargingYourCaseinChina担保人签字/Guarantor’sSignature:日期/Date:以下材料请于提交申请表格时一起提供Pleaseofferthefollowingmaterialswiththeapplicationform.1.经毕业院校确认的毕业证书、学历证书复印件Graduationcertificatesandthedegreecer

5、tificates(copies;authorizedbygraduateuniversity)2.经毕业院校确认的成绩单复印件Confirmedtranscript(copies;authorizedbygraduateuniversity)3.汉语水平证明/英语水平证明(学历生需要提供)Chineselevelcertificate/Englishlevelcertificate(undergraduateprogrammesapplicantneedtooffer)4.学习或研究工作计划Studyorresearchdescription5.护照复印件Copyofyourpassp

6、ort(thepagewithpersonalinformationonit)6.担保人有效证件复印件ThecopiesofSponser’svalididentitycertificates.7.NonCriminalRecordauthorisedbytheAmbassyof People'sRepublicofChinaintheRepublicofCameroon.经中国大使馆认证过的无犯罪记录证明申请人保证/Iherebyconfirmthat:1.申请表中所填写的内容和提供的材料真实无误，本人愿意为以上信息的真实性负全部责任。Allinformationandmaterial

7、sgiveninthisformaretrueandcorrecttothebestofmyknowledgeandbelief.Iwilltakefullresponsibilityfortheauthenticityoftheaboveinformation.2.在安康学院学习期间，遵守中国的法律和学校的规章制度。不从事任何危害中国社会秩序、与本人来华学习身份不符合的活动；IshallabidebytheChineselaws&