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2016-2017年度安康学院外国留学生入学申请表 International Students Application Form
2017-02-22 15:47 International Office of AKU 

       

    

姓名

Name

Family Name

(please print)

照片

Photo

Given Name

(please print)

国籍

Nationality

 

性别

Gender

 

护照号码

Passport No.

 

护照有效期

Valid until

 

出生日期

Date of Birth

            

Year     Month    Day

婚姻状况

Marital Status

 

出生地

Place of Birth

 

宗教信仰

Religious Belief

 

健康状况

Health

 

Physical Status

 

最后学历

Highest Academic

Degree Obtained

 

 

专业

Major

 

 

现学习或工作单位

Current Employer or College Affiliated

 

职业    Occupation

 

永久通讯地址

Permanent Address

 

 

本人联系方式

My Contact Information

电话Tel./Mobile

传真Fax No.

电子邮件 E-mail

 

 

 

 

紧急事务第一联系人

Contact on Emergencies

姓名Name

电话Tel./Mobile

电子邮件 E-mail

 

 

 

 

本人简历/Education & Work Experience

 

 

 

 

 

 

 

 

 

汉语水平

Proficiency of Chinese Language

汉语学习时间/Time for Chinese Learning:        hours

HSK等级/Band of HSK Achieved:             

拟申请学习的专业

Subject or Field of Study I Apply for

 

申请学习时间

Duration

/From: /Year      /Month      /Day    

/To:  /Year      /Month      /Day    

留学类别/Categories of International Students I Apply to be in

本科生/Bachelor’s Degree Candidate        汉语进修生/Chinese Language Student

普通进修生/General Scholar               高级进修生/Senior Scholar

费用来源

Financial Support

奖学金/Scholarship      自费/Self-supporting      其他/Other

 

在华期间事务担保人姓名、联系电话及联系地址:

Name,Tel & Address of the Guarantor Charging Your Case in China

 

 

 

担保人签字/Guarantor’s Signature:                           日期/Date:               

以下材料请于提交申请表格时一起提供

Please offer the following materials with the application form.

1.      经毕业院校确认的毕业证书、学历证书复印件

Graduation certificates and the degree certificates  (copies; authorized by graduate university)

 

2.      经毕业院校确认的成绩单复印件

Confirmed transcript (copies; authorized by graduate university)

 

3.      汉语水平证明/英语水平证明(学历生需要提供)

   Chinese level certificate/ English level certificate(undergraduate programs applicant need to     offer)

4.      学习或研究工作计划

   Study or research description

 

5.      护照复印件

Copy of your passport(the page with personal information on it)

 

6.      担保人有效证件复印件

   The copies of Sponsor’s valid identity certificates.

 

7. 经中国大使馆认证过的无犯罪记录证明

  Non Criminal Record authorized by the Embassy of People's Republic of China in your country.  

申请人保证/I hereby confirm that:

1.       申请表中所填写的内容和提供的材料真实无误,本人愿意为以上信息的真实性负全部责任。

All information and materials given in this form are true and correct to the best of my knowledge and belief. I will take full responsibility for the authenticity of the above information.

2.       在安康学院学习期间,遵守中国的法律和学校的规章制度。不从事任何危害中国社会秩序、与本人来华学习身份不符合的活动;

I shall abide by the Chinese laws & the regulations during the study at Ankang University and will not participate in any activities in China which are deemed to be adverse to the social order of China and are inappropriate to the capacity as a student.

3.       按时缴纳学校规定的学生应该缴纳的各项费用。I will pay all expenses on time.

  

申请人签字/Applicant’s Signature:                            日期/Date:               

联系地址:中国陕西省安康市汉滨区育才路92号,安康学院国际合作与交流处 邮编725000

Address: International Office of Ankang University,

92 Yucai Road, Hanbin District, Ankang Shaanxi Province 725000 P. R. China

Phone: 86-915-3288082  86-915-3287090    Fax:  86-915-3288082 

Email: gjc@aku.edu.cn   akugjc@126.com     

Website : http://gjc.aku.edu.cn   http://www.aku.edu.cn/english.htm

 

 

附件【2016-2017 Ankang University International Students Application Form.doc.doc
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