APPLICATIONFORM申请表 I, ………………………………填写姓名………………., apply for admission in ……………………………………………… (academic programme) offered in ......................... (language) for the academic year 20.. / 20.. autumn / spring semester. PERSONAL DATA 个人数据 Title 称呼 Mr / Mrs / Miss / Ms Surname / family name 姓氏 Middle name 中间名字 First / given names (underline the name you use) 名字 Mother’s maiden name (surname姓氏, middle name中间名字, first name(s)名字) 婚前姓 Gender 性别 Male / Female Place of birth (city, country) 出生地 Date of birth (dd/mm/yyyy) 出生日期 Nationality 国籍 Country of residence 居住国 Passport number, place of issue and date of expiration (dd/mm/yyyy) 护照号，签发日期及到期日期 ADDRESS AND CONTACTS 地址和联系方式 Country 国家 City and post code 城市和邮编 House number and street 门牌号和街道 Mailing address (if different from the permanent address) 邮寄地址（如与常住地址不同） Telephone / mobile 电话/手机 Fax 传真 E-mail 电子邮箱 Contacts of a family member in case of emergency (address, telephone, fax, e-mail) 紧急情况下一位家庭成员的联系方式（地址，电话，传真，电子邮箱） EDUCATION AND QUALIFICATIONS 教育背景及相关资格 All schools attended, examination records and degrees 所有上过的学校，考试记录及学位情况 School name / University name 学校名称/大学名称 Address 地址 Country 国家 Post code 邮编 Telephone 电话 Fax 传真 Level of education 受教育程度 Type of certificate / degree 证书类型/学位类型 Identification number of certificate / degree 证书编号/学位编号 Date of certificate / degree 证书签发日期/学位授予日期 Please add tables as required. 请根据要求添加表格 Please attach a copy of certificate(s)/degree(s). 请附上一份证书或学位证书复印件 FOREIGN LANGUAGE COMPETENCY 外语水平 Language 语种 Exam type 考试类型 Level 级别 1 2 3. Please attach a copy of certificate(s). 请附上一份外语水平证书复印件 DECLARATION 声明 I, ...........................填写姓名..................., hereby declare that, to the best of my knowledge, the information given on this form is true, complete and accurate, and no requested information has been omitted. Signature 签名........................................................... Date.............................................................. Notes and remarks of the applicant 申请人附言及意见 Signature ........................................................... Date .............................................................. 本文档由香当网(https://www.xiangdang.net)用户上传
