| Full legal name |
Surname
|
First
|
Middle
|
Photo
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| Chinese name |
Surname
|
First name
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| |
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| Country of citizenship |
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Passport No. |
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| Gender |
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Marital status |
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| Date of birth(y/m/d) |
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Place of birth |
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| Permanent home address |
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| Current mailing address if
different from permanent address |
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| Fax |
|
Tel |
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E-mail |
|
|
Field of study , please refer to the Catalog
of Programs
|
| |
| Duration of Study |
from _____________ to _______________ |
| Categories of foreign
students |
Undergraduate student ( ) |
General scholar ( ) |
| Master's candidate ( ) |
Senior scholar ( ) |
| Doctoral candidate ( ) |
Research scholar ( ) |
|
Educational Background (Starting from high school
)
|
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Name
|
Location
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Major
|
Dates attended
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Degree awarded
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Work Experience (Starting from current position
)
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Employer
|
Location
|
Dates atttended
|
Position
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Language Proficiency (Excellent, good, or fair)
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Language
|
Reading
|
Writing
|
Speaking
|
| Chinese |
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| English |
|
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Publications and theses
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Special skills or interest
|
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| Statement of your study
or research in China, using a separete sheet. |
|
Financial Sponsor's name_________________________________________________________________
Address & Tel ________________________________________________________________________
Relationship with the Applicant _________________________________
Sponsor's Signature____________
|
Person or agency to act on
your behalf in China ________________________________________________
Address & Tel _________________________________________________________________________
|
|
Comment of sponsor or recommending party___________________________________________________
____________________________________________________________________________________
Signature:___________________________________ Date:__________________________________
|
|
I hereby affirm: 1. I have reviewed the above information,
and it is true and complete to the best of my knowledge.
2. I shall abide by the laws of the Chinese government and
the regulations of university.
Signature:_________________________________ Date :_______________________________________
|