贵州大学留学生申请表(Guizhou University Application Form).pdf
贵州大学留学生申请表 GUIZHOU UNIVERSITY APPLICATION FORM FOR OVERSEAS STUDENTS 姓名 (全称) 原文 in Native Language 国籍 Nationality Full legal name (use no initials 相 中文 in Chinese 健康状况 Health Condition 性别 Sex 婚姻状况 Marital status 出生地点/日期 Place/Date of Birth 护照号码/有效期(至少两年 有效期) 宗教信仰 Religion 片 (PHOTO) 50kb No Larger than 50kb /surname in CAPITAL LETTERS) 以 下 职业 Occupation 随行人员(姓名、性别、身份、与本人关系) Companions to China (name, sex, status and relation with you) Passport No.: Valid until (at least 2 year later): 本人现在通讯地址、电话及邮箱(有效期至 年 月 日) Current correspondence address, telephone number and Email address (valid until day month 在华期间国内联系人姓名、长期地址、电话号码 Name, Permanent Address, and Telephone of your Guardian in Home Country While You Are in China 亲属情况(姓名、年龄、工作单位、职位) Information of Family Members(Name, Age, Place of work, Position) 经济担保人或机构名及联系方式 Name of Financial Sponsor/Agency, and Contact Information 1/3 year) 主要教育经历 Major Education Experience 校名 在校时间 主修专业 主要学习课程 School names Duration of study Major fields of study Main subjects studied 取得学位证书 Diploma 汉语学习经历 Chinese Learning Experience 学习时间 Duration of study 学习地点 Place of study 是否有新 HSK 考试等级或其他类型汉语考试成绩 Please illustrate your Chinese Language Proficiency if you hold HSK Certificates or other Chinese Language Proficiency Certificates 工作经历 工作时间 Duration 学习课程 Main subjects studied 有 □ 类型、级别和分数:______ (HSK4/5/6 请附上 HSK 证书) 无 □ Work Experience 工作地点及单位 Place of Work 职位 Position 其他经历(如发表的作品、获得的荣誉称号、职位、外语水平及研究兴趣等) Supplementary information (publications, additional qualifications, knowledge of other languages and interests, etc.) 留学类别(请在方格内打勾)Category of study in China (please check appropriately) 短期进修生 □ short-term student □ 长期进修生 □ long-term student □ 本、专科生 □ undergraduate □ 高级进修生 □ senior advanced student □ 申请在华学习专业 Major Field of Study in China 申请在华停留时间 Duration of Stay in China 拟到校学习日期 Proposed Start Date at Guizhou University 2/3 研究生 □ postgraduate□ 当前在华申请人签证类型和有效期,需提交签证扫描件 Current Visa Type and Valid Duration of your visa (Copy of your Visa Attached if you are in China currently) X2 签证 □ 学习类居留许可□ 其他 _____________ X2 Visa □ Studying Residence Permit □ Others_____________ 签证有效期 _______________________ Duration of your visa ______________________ 在华研究详细计划(此栏由高级进修生用汉语填写,可附附件 to be filled out in Chinese by senior advanced students, Attached file is permitted) 兴趣爱好 Hobbies 就业意向(请在方格内打勾) The organization you intend in (please check appropriately or write) 学校 □ 政府 □ 非盈利组织 □ 企业 □ 军队 □ 其他______________ School □ Government □ NGO □ Enterprise □ Army □ Others_____________ 经费来源 Source of Finance 个人自费 □ 政府或机构奖学金 □ Personal Sponsored □ Government/Agency Scholarships □ 其他______________ Others_____________ 申请人保证 I hereby affirm that 上述各项中所提供的情况是真实无误的。All the information filled in the form is true and correct. 如若材料中有不实或虚假信息(包括学历及成绩证明、个人信息、健康信息等),本人自愿承担贵州大学 国际教育学院相关处理规定后果。I shall be responsible to the consequence according to the regulations College of International Education if the application documents were found false (including notarized highest diploma, personal information, physical examination record, etc.). 在华学习期间遵守中国政府的法律和学校的规章制度。 I shall abide by the laws and decrees of the Chinese government and school regulations. 申请人签字:Applicant’s signature 日期 date 填好本表后请按下列地址邮寄 Please return the completed form to: 中国 College of International Education 贵州省 贵阳市 花溪区 Guizhou University(West Campus) 贵州大学西校区国际教育学院 Guiyang, Guizhou 550025 550025 P. R. China Tel: +86-851-83627738 +86-851-88292749 Fax: +86-851-83621381 Email: cie@gzu.edu.cn 请同时在贵州大学国际教育学院网上申请系统 http://gzu.at0086.cn/StuApplication/Login.aspx 申请并上传 相关资料。Please apply online http://gzu.at0086.cn/StuApplication/Login.aspx and submit all the documents online as well. 3/3