电子科技大学国留学生入学申请表

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1、电子科技大学外国留学生入学申请表APPLICATIONFORADMISSIONTOUNIVERSITYOFELECTRONICSCIENCE&TECHNOLOGYOFCHINA(UESTC)中国四川省成都市高新区（西区）西源大道2006号主楼A1-406，邮编:611731RoomA1-406,MainBuilding,No.2006,XiyuanAve,WestHi-TechZone,Chengdu,Sichuan,P.R.China,611731电话(Tel):+86-28-61831730(61831638)传真(Fax):+86-28-61831637照片P

2、hoto1．PassportName:FamilyName/姓：___________GivenNames/名：______________2．Nationality/国籍：__________________________________________________3．Sex/性别：M/男□F/女□4．PassportNo./护照号码：_________________5．MaritalStatus/婚否：Single/未婚□Married/已婚□6．Religion/宗教:____________________;EducationLevel/最高学历：_

3、____________________7．DateandPlaceofBirth/出生日及出生地：Year/年Month/月Day/日Place/出生地：8．PresentOccupation/当前职业：______________________Employer/InstitutionAffiliated/工作/学习单位：____________________________________9．HomeAddress/本国地址：_____________________________________________________Tel./联系电话：____

4、_____________________Fax/传真：___________________________Email/电邮：_________________________________________10．DurationandPlaceofPreviousChineseStudy/何时何地学过汉语：________________________________________________________________________11．PresentLevelofChinese:□Excellent□Good□Fair□NoAbility现有汉

5、语水平很好较好一般不会12．PlanofStudyinUniversityofElectronicScienceandTechnologyofChina/来电子科大的学习计划：A.ChineseLanguageStudy/学习汉语：□B.Bachelor’sDegree/本科生：□Major/专业：C.Master’sDegree/硕士生：□Major/专业：D.DoctorateDegree/博士生：□Major/专业：E.AdvancedStudent/进修生：□Major/专业：F.ExchangeStudent/校际交换生：□Major/专业：13．Dura

6、tionofStudyatUniversityofElectronicScienceandTechnologyofChina/在电子科大学习时间：Year/年Month/月to/至Year/年Month/月14．SourceofPayment/经费来源：a)UniversityScholarship/电子科技大学新生奖学金：□b)StudentofSchoolExchangeProgram/校际交流奖学金学生：□c)Self-supportedStudent/自费生：□d)Others/其他：□UNIVERSITYOFELECTRONICSCIENCE&TECHNO

7、LOGYOFCHINA(UESTC)1．ContactPersoninChina/在华联系人：Name/姓名：Employer/单位：Address/联系地址：Tel./电话：Fax/传真：2．是否申请了其它学校/Didyoualsosubmitapplicationtoanyotheruniversity?是/Yes：□无/No：□﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡※所附材料情况（请在所附附件前划X标明）□申请表（一式两份）/ApplicationForm(induplicate).□两封推荐信/TwoLettersofRecommend