哈尔滨工程大学专业进修学生入学申请表

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1、哈尔滨工程大学专业进修学生入学申请表ApplicationFormforInternationalStudentsWishingtoStudyatHEU姓FamilyName:名GivenName:照片Photo国籍Nationality：性别Gender：Male□Female□出生日期（日/月/年）DateofBirth(d/m/y)：出生地点PlaceofBirth:护照号码PassportNo.：护照有效期PassportValidity:婚否MaritalStatus：宗教信仰Religion：本国通讯地址HOMEAddress：电话Tel&传真Fax:手机C

2、ellPhoneNo.：电子邮箱Email：本人最高学历Highestacademicdegreeobtained:留学类别CategoriesofInternationalStudents:中文授课高级进修生项目AdvancedprograminChinese□英文授课高级进修生项目AdvancedprograminEnglish□中文授课普通进修生项目GeneralprograminChinese□英文授课普通进修生项目GeneralprograminEnglish□申请学习学院(系)Schoolorcollegewishingtostudy:申请学习专业Apply

3、ingfor(specialty):学习期限/DurationofStudy:自/From年/Year月/Month至/to年/Year月/MonthNOTE:SpringSemester:March-July;AutumnSemester:September-January;语言熟悉程度（精通/好/一般/初级）/Languageproficiency(Excellent/Good/Fair/Elementary)中文/Chinese_____________汉语水平考试成绩/HSK(TestofChineseProficiency)level___________英语

4、/English_____________托福成绩/TOEFL(score)雅思成绩/IELTS(score)__________其它语言/Otherlanguage_______________受教育情况/Educationbackground(HighSchoolorhigher)校名/Institution专业/Major起止时间/Time（from/to）所获毕业证书或学位/Certificateordegreeawarded工作经历Workingexperiences工作单位/Employer起止时间/Time（from/to）从事工作/Workengaged

5、职位/Postortitle学习或研究的详细计划（如空格不够，请附另页）DetailedstudyorresearchplanatHEU（Useadditionalsheetifneeded）HEUWebsite:www.hrbeu.edu.cnNo.145-1,NantongStr.NangangDist.Harbin,Heilongjiang,150001,P.R.ChinaEmail:heufao@hrbeu.edu.cnTel:+86-451-82568266Fax:+86-451-82530010经济担保FinancialSupport□自费Self-supp

6、orting:经济担保人或机构Financialsupportwillbeprovidedby:担保人Nameofguarantor:关系Relation:地址Address:电话Tel&传真Fax:□奖学金Supportedbyscholarship奖学金名称Nameofscholarship：地址Address:电话Tel&传真Fax:□其他/Other:□申请哈尔滨工程大学外国留学生奖学金ApplyingforHEUInternationalStudentsScholarship请从http://studyheu.hrbeu.edu.cn下载奖学金申请表Pleas

7、edownloadthescholarshipapplicationformfromhttp://studyheu.hrbeu.edu.cn□申请中国政府奖学金ApplyingforChineseGovernmentScholarship请登入国家留学基金委员会网站www.csc.edu.cnPleasevisitthewebsiteofChinaScholarshipCouncil:www.csc.edu.cn紧急情况联系方式ContactInformationincaseofEmergency姓名Name：关系Relation:电话T