| 1.姓/Family Name * |
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| 名/given name * |
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| 2.国籍/Nationality * |
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| 3.出生日期/Date of Birth * |
( write like this:yy-mm-dd) |
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| 4.护照号码/Passport No* |
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5.性别/Sex* |
男/Male
女/Female |
| 6.出生地/Place of Birth * |
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7.婚否/Marital Status* |
已婚/Married
未婚/Single |
| 8.签证类型/ CATEGORY OF VISA* |
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| 9.签证有效期/DATE OF EXPIRATION * |
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| 10.最后学历Highest Academic Degree Obtained
* |
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| 11.职业Occupation |
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| 12.工作或学习单位Employer or School Affiliated |
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| 13.学习期限/Duration of Proposed Study: * |
( write like this:y-m-d) |
| 14.既往学习经历(时间)/Length and Place You Have Studied at: |
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| 15.到校时间/Your Arrival Day |
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| 16.课程选择/Class you are to attend to* |
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| 17.生源国通讯住址/电话或传真(THE MAILING ADDRESS,TELEPHONE AND/OR FAX IN YOUR HOME COUNTRY): * |
| 地址/ADDRESS:* |
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| 电话/TELEPHONE*:
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传真/FAX:
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| 18.中国通讯住址及邮政编码(THE MAILING ADDRESS, TELEPHONE OR MOBILE OR FAX AND ZIP CODE IN CHINA): |
| 地址及邮编/ADDRESS & ZIP CODE: |
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| 电话或手机/TELEPHONE / MOBILE: |
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传真/FAX:
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| 19.推荐人姓名, 联系地址/ NAME & ADDRESS OF AGENCY * |
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| 20.电子邮件/E-MAIL(IN BLOCK LETTERS,PLEASE)*: |
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| 21.申请人签字/SINATURE*: |
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| 日期/DATE*: |
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请注意:随同此申请表同时须提供的资料还有照片(护照照片尺寸)6张、护照复印件(个人信息页和签证页)一份;
另外居留证持有者须提供居留证复印件一份 Attention: Some items are required to be submitted together with this application form, which are 6 photos (passport photo size), photocopy of passport (personal information page and visa page); A photocopy of residence permit, if any, is also required. |
| 22.上传文件/Upload File: |
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