外国留学生申请表（一）.doc

外国留学生申请表（一）Application Form ( I ) for Foreigners to Study at SJTUCE河南省郑州市中原41号 电话/Tel: 86-371-6769877841, zhongyuanRoad, Zhengzhou, Henan 450011 China 传真/Fax: 86-371-67698107请用正楷填写/Please use block letter 姓Family Name名Given Names照片photo出生日期Date of Birth 年 月 日Yr. Mo. Day出生地点Place of Birth国 籍Nationality性 别Sex婚姻状况Marital Status宗 教Religion永久通讯地址Permanent Address电话及传真号Tel & Fax No.Tel:Fax:电子邮件E-mail本人学历Educational Background护照号码及有效期Passport No./Valid Until工作或学习单位Employer Institution Affiliated职业Occupation标准双人间Standard Double Room单人间Single Room汉语水平（用优、良、可评估）Present Level of Chinese(“Excellent”, “Good” or “Passable”)阅读Reading E G P听Listening E G P写Writing E G P说Speaking E G PHSK级别Level of HSK 已学习汉语时间及地点Where and how long have you study Chinese留学目的Reasons for your studying at SJTU会何种其他语言Proficiency in Foreign Languages留学期间Duration of Study at SJTU自 年 月 日 到 年 月 日From Yr. Mo. Da. To Yr. Mo. Da.经济来源Source of Funding奖学金 自费 其它Scholarship Self-supporting Other经济担保人或机构Financial support will be provided by在华事务担保人及电话号码Guarantor in China & Tel推荐单位及电话Reference &Tel.申请人保证：1) 上述各项中所提供的情况是真实无误的；2) 在中国学习期间遵守中国政府的法律和学校的规章制度；I hereby affirm that:1) All the information given in this form is true and correct；2) I shall abide by the laws of the Chinese Government and the regulations of the school；日期 年 月 日 申请人签名Date Yr. Mo. Da. Signature of the Applicant注：如您申请学位、专业，请继续填写外国留学生申请表（二） Please complete form () if you are applying for degree program.外国留学生申请表（二）Application Form ( II ) for Foreigners to Study at SJTUCE请用正楷填写/Please use block letters请按时间先后顺序填写本人中/高等教育学历：List in chronological order your secondary/higher education training. 学校 在校时间（自/至） 所获证书、学位 主修专业Institution Years attended (from/to) Diploma received Fields of study_ _ _ _ _ _ _ _ _ _ _ _ _工作简历：Present occupation and previous employments.时间 工作单位 职务/职称Date Employer Position or Title来华留学类别（请在方框内画“”）Indicate the nature of the programme you wish to undertake in China (please tick)1) 攻读学位/Degree programme 本科生 硕士研究生 博士研究生Bachelors Masters Ph.D.Degree2) 不攻读学位/Non-degree programme 普通进修生 Advanced student 高级进修生 研究学者 Senior advanced student Research student来校学习/研究计划Describe the plan of study / research you wish to undertake in Shanghai Jiao Tong University1) 学习/研究专业：Field of study or research a. b. c 2) 学习/研究期限Duration of study or research _3) 是否需要补习汉语？ 期限：Do you intend to take elementary Chinese course? _ Length_对学习研究专业的补充说明（如本栏篇幅不够，可附另页）：Any other information you consider relevant to this plan (Post-graduate and senior advanced students are requested to write in Chinese or English. Use a separate page if necessary).注： 请务必交验中、英文（或翻译成相同文字并经过公证）的学历证书和成绩单复印件Note: Copies of diploma and transcripts in (or be translated into) Chinese or English must be submitted. Documents not in Chinese or English must be accompanied by certified translations.请附上由指导过你的正/副教授（或学校校长、系主任）出具的两封推荐信，并列出他们的姓名、职务职称和地址。Please submit two supporting letters written by associate professors or professors (school principal or department head ) under whom you have studied. Please list their names, positions/tittles and addresses.姓 名 职务/职称 地 址Name Position to Title Address_ _ _ _ _ 日期 年 月 日 申请人签名Date Yr. Mo. Da. Signature of the Applicant注 意： 所填内容必须正确无误，不完整的申请表或未按要求交验有关材料，将会延误对此申请的审理时间。Im