姓Surname/Family Name:
| 名First Name, Second Name:
| 性别Sex:
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国籍Nationality: | 出生地 Place of Birth | 护照号码Passport Number: | 护照有效期至 Date of Passport Expiry: | 出生日期Date of Birth:(DD-MM-YYYY) | |||||||||||||
宗教信仰Religion: | 婚姻状况Marital Status:
| 个人特长Personal Talent: | 当前职业Current Occupation:
| 学习或工作单位Institution or Employer: |
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家庭信息 Family Information
| 父亲姓名 Father’s name:
| 职业Occupation:
| 联系方式Contact details:
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母亲姓名 Mother’s name:
| 职业Occupation: | 联系方式Contact details:
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家庭经济收入 Family Finance Status |
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| 家庭地址Family Address:
| 邮政编码Zipcode: | |||||||||||||||
联系电话Contact Tel:
| 电子邮箱(必填)Applicant’s Contact e-mail (required):
| 邮寄地址 Mailing Address (Required for posting admission letter):
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学习类别Categories of International Students (please place a ü in the appropriate box below) 1. 汉语进修生Mandarin Chinese learner □ 2. 本科生Undergraduate □ 3.硕士研究生 Master Candidate □ 4. 博士研究生Doctor Candidate □ 5. 高级进修生General Advanced Student □
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专业名称COURSE. Please refer to our website http://lxsb.csuft.edu.cn for more information. |
专业名称Title of Programme:
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学习期限Proposed study date from (DD-MM-YYYY) to (DD-MM-YYYY)
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时间From date to date | 学校School / Institution attended | 成绩单Transcript (Official copy is required) | 学习专业 Major/Programme studied | 毕业时间Date of graduation |
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你的最高学历教育阶段的授课语言是汉语还是英语?Is the teaching medium Chinese or English in your highest education? 汉语CHINESE □ 英语ENGLISH □
如果既不是汉语也不是英语,请提供HSK或IELTS、TOEFL或同等水平的语言证明。If NOT Chinese or English, give details of the HSK or IELTS, TOEFL certificate or equivalent proof: | ||
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考试名称Test Name | 考试成绩Test Score | 考试时间Date Test Taken |
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工作单位Employer (with dates) | 工作时间Period of Employment | 主要职责Main Duties |
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在此,我郑重声明,上述内容真实有效,否则我愿意承担一切后果。I hereby confirm that the information I have provided on this form is true, complete and accurate and that no information material to this application has been omitted.
Signature: ………………………………………… ……………. Date: ………………………………………………….
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