出国申请表

2.学习多长时间/How long have you studied Chinese?
3.程度如何？□初级Beginner□中级Intermediate□高级Advanced
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 NCWU
姓名职务/职称地址
Name Position to Title Address
________________ _____________________ _____________________________
________________ _____________________ _____________________________
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.
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；
_____________ ____________________ __________________ _______________
工作简历：
Present occupation and previous employments.
时间工作单位职务/职称
Date Employer Position or Title
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).
Employer Institution Affiliated
职业
Occupation
标准双人间
Standard Double Room
单人间
Single Room
现有汉语水平/Present level of Chinese
1.何时何地学习汉语/When and where did you learn Chinese?
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 university；
请用正楷填写/Please use block letter电子邮件E-mven 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
来华留学类别（请在方框内画“√”）
Indicate the nature of the programme you wish to undertake inChina(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.Degree
外国留学生申请表(一)
Application Form ( I ) for Foreigners to Study at
河南省郑州市北环路36号电话/Tel: 86-371-69127579
36, Beihuan Road, Zhengzhou, Henan 450011 China传真/Fax: 86-371-69127577
1)学习/研究专业：
Field of study or researcha. 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___________
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.
Application Form ( II ) for Foreigners to Study atNorthChinaUniversityof Water Conservancy & Electric Power(NCWU)
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
日期年月日申请人签名
Date Yr.Mo.Da. Signature of the Applicant
注：如您申请专业学位，请继续填写外国留学生申请表（二）
Please complete form (Ⅱ) if you are applying for degree program.
外国留学生申请表（二）
会何种其他语言
Proficiency in Foreign Languages
留学期间
Duration of Study at NCWU
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
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
2)不攻读学位/Non-degree programme
普通进修生Advanced student
高级进修生Senior advanced student研究学者Research student
来校学习/研究计划
Describe the plan of study / research you wish to undertake inShanghaiJiaoTongUniversity
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。
Important: All the information should be true and correct. An incomplete application, or the supporting document not submitted, WILL DELAY the process of your application.
_____________ ____________________ __________________ _______________
_____________ ____________________ __________________ _______________
_____________ ____________________ __________________ _______________