2015-08-21
319
School of Chinese Studies
±ѕ±нїЙёґУЎК№УГ If necessary, please make a copy of this form, then fill it out.
ЗлУГЦРОД»тУўОДМоРґ Please write or print clearly in Chinese or in English.
ЗлФЪЛщСЎПоДї·ЅїтЎ®ЎхЎЇДЪ»®Ў®ЎМЎЇ±нКѕPlease indicate with Ў®ЎМЎЇ in the blank chosen.
| ЦРОДРХГы Chinese Name | |||||||||||||||||||
| УўОД»¤ХХУГГы English Passport Name | РХSurname | ГыGiven Name | |||||||||||||||||
| №ъ ј® Nationality | ДёУп Native language | ||||||||||||||||||
| РФ ±р Sex | Ўх ДРMale Ўх Е®Female | ||||||||||||||||||
| іцЙъИХЖЪ Date of Birth | ДкYear ФВMonth ИХDay | ||||||||||||||||||
| іцЙъµШ Birthplace | іЗКРCity №ъјТCountry | ||||||||||||||||||
| ЧЪЅМРЕСц Religion | МШі¤ј°°®єГ Hobbies and interests | ||||||||||||||||||
| »йТцЧґїц Marital Status | ЎхµҐЙнSingle ЎхТС»йMarried | ||||||||||||||||||
| »¤ХХєЕВл Passport No. | УРР§ЖЪ(yy/mm/dd) Date of Expiration | ||||||||||||||||||
| ЧоёЯС§Аъ Highest Degree Awarded | |||||||||||||||||||
| ПЦФЪС§П°»т№¤ЧчµҐО» Present Institution / Employer | Йн·Э»тЦ°О» Current Status | ||||||||||||||||||
| ЅМУэ±іѕ°Educational background | |||||||||||||||||||
| ЅМУэІгґО Education level | ѧУГыіЖ Name of school | ФЪРЈК±јд Time at school | ЦчРЮЧЁТµј°Лщ»сЦ¤Кй Major and awarded certifications | ||||||||||||||||
| іхЦР Primary school | |||||||||||||||||||
| ёЯЦР High school | |||||||||||||||||||
| ґуС§ University | |||||||||||||||||||
| Л¶Кї Master | |||||||||||||||||||
| ДїЗ°БЄПµµШЦ· Current Mailing Address | |||||||||||||||||||
| µз»° Tel | ґ«Хж Fax | ||||||||||||||||||
| µзЧУУКјюE-mail | |||||||||||||||||||
| №ъНвУАѕГНЁС¶µШЦ· Permanent Mailing Address in home country(in English) | |||||||||||||||||||
| µз»° Tel | ґ«Хж Fax | ||||||||||||||||||
| ЙкЗлИЛЗЧКфЗйїцApplicantЎЇs Family Members | |||||||||||||||||||
| №ШПµ relationship | РХГыName | Ц°Тµј°Ц°Ос Occupation Ј¦ Position | БЄПµµз»°Tel | µзЧУУКПд E-mail | |||||||||||||||
| ЕдЕјSpouse: | |||||||||||||||||||
| ёёЗЧFather: | |||||||||||||||||||
| ДёЗЧMother: | |||||||||||||||||||
| єєУпЛ®ЖЅ Chinese Proficiency | Ўх ОЮNone Ўх С§П°єєУпI have studied Chinese for ____________С§К±Hours | ||||||||||||||||||
| HSKіЙјЁ HSK Level | Ўх ОЮNone Ўх УРYes Level _______________ | ||||||||||||||||||
| ЙкЗлАа±р Applying for | Ўх Ѕ±С§ЅрЙъscholarship student Ўх РЈјКЅ»»»Ѕ»БчЙъ exchange student ЎхЧФ·СЙъ self-paying student | ||||||||||||||||||
| Аґ»ЄС§П°јЖ»® Plan of Study in China | Ўх єєУпЅшРЮЙъChinese Language Student | ||||||||||||||||||
| Ўх ±ѕїЖЙъBachelorЎЇs Degree Candidate ЙкЗлЧЁТµField of Study: ________________________________ | |||||||||||||||||||
| Ўх Л¶КїСРѕїЙъMasterЎЇs Degree Candidate ЙкЗлЧЁТµField of Study: ________________________________ | |||||||||||||||||||
| С§П°ЖЪПЮ Duration of Study | ЧФFrom_____ДкYear___ФВMonth___ИХday ЦБTo_____ДкYear___ФВMonth_____ИХday | ||||||||||||||||||
| ЧЎЛЮ Room | Ўх Л«ИЛјд Double Room Ўх µҐИЛјд Single Room Ўх БщИЛМЧјд Suite ЈЁfor six peopleЈ3 double roomsЈ© | ||||||||||||||||||
| ЧўЈєС§Йъ±ШРлМбЗ°Ф¤¶Ё·їјд, ЧЎЛЮ·Сј°МхјюЗлІйїґµ±ДкХРЙъјтХВЎЈ Students should book the room in advance. Please see the brief introduction every year about the accommodation fees and condition. | |||||||||||||||||||
ёщѕЭЦР№ъПа№Ш№ж¶ЁЈЛщУРБфС§ЙъИлС§єу±ШРлФЪ№ъДЪ°мАнИЛЙнТвНв±ЈПХЎЈAll the foreign students should buy oversea insurance according to relevant Chinese laws.
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ЙкЗлИЛ±ЈЦ¤ЙПКцёчПоЦРМṩµДЗйїцКЗХжКµОЮОуЈФЪґуБНв№ъУпґуѧѧϰЖЪјдЈЧсКШѧУёчПо№жХВЦЖ¶ИЎЈI hereby affirm that all the information given in this form is true and correct; I shall abide by the regulations of Dalian University of Foreign Languages.
ЙкЗлИЛЗ©ГыSignature of Applicant: ___________________ ИХЖЪDate:_________________
НЖјцµҐО»/ёцИЛRecommended by: _________________ µз»°Tel: __________________
