西安文理学院外国留学生入学申请表

1、 西安文理学院外国留学生入学申请表 Xian University International Students Application Form姓名Name姓Family Name(please print)照片Photo名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年 月 日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

2、 Status最后学历Highest AcademicDegree 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

3、 of Chinese Language汉语学习时间/Time for Chinese Learning: hoursHSK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自/From: 年/Year 月/Month 日/Day 至/To: 年/Year 月/Month 日/Day 留学类别/Categories of International Students I Apply to be in 本科生/Bachelors Degree Candidate 汉语进修生/C

4、hinese 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/Guarantors 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 mat

5、erials with the application form.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)经毕业院校确认的成绩单复印件Confirmed transcript (copies; authorized by graduate university)汉语水平证明/英语水平证明(学历生需要提供) Chinese level certificate/ English level certificat

6、e(undergraduate programs applicant need to offer)学习或研究工作计划 Study or research description护照复印件Copy of your passport(the page with personal information on it)担保人有效证件复印件 The copies of Sponsors valid identity certificates.经中国大使馆认证过的无犯罪记录证明 Non Criminal Record authorized by the Embassy ofPeoples Republic

7、 of China in your country. 申请人保证/I hereby confirm that: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.在西安文理学院学习期间，遵守中国的

8、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 Xian 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.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/Applicants Signature: 日期/Date: 联系地址：中国陕西省西安市科技六路1号，西安文理学院国际教育学院 邮编710065Contacting address: International Exchange Office