大连海事大学外国留学生入学申请表

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All the information given in this form is true and correct. I understand that I may be subject to a range of possible disciplinary actions, including admission revocation or expulsion, should the information I’ve certified be false.
I will not engage in activities bearing no relation with my academic pursuit. I will pay all expenses on time.
申请人签名/Applicant’s Signature:日期/Date:
自年月至年月
From Yr.Mo.To Yr.Mo.
经济资助/Financial Support
□自费/Self-support□奖学金/Scholarship□其他/Others
家庭情况/Family Status
称谓/Appellation
姓名/Name
职业/Occupation
联系电话/Tel.
中国辽宁省大连市凌海路1号大连海事大学国际教育学院116026
Admissions Office,InternationalEducationCollege,DalianMaritime University
No.1Linghai Road,Dalian,LiaoningProvince, 116026, P.R. China.
申请学习专业/Field of Study:
申请硕士、博士项目者请选择/For Masters & PhD Applicants Only:
□学校代选导师/Supervisor chosen by DMU□自选导师/Supervisor chosen by yourself
申请学习时间
Duration of Study at DMU
电话/Tel : +86-411-84727317传真/Fax: +86-411-84723025
电子信箱/E-mail:dmufso@网址/Website:/
大连海事大学外国留学生入学申请表
APPLICATION FORM FOR INTERNATIONAL STUDEN人间/Single Room□双人间/Double Room
否/No□
学习经历(从高中开始填写)Educational Background (From High School)
学校名称
Institution
在校时间
Years Attended (from/to)
主修专业
Field of Study
读/Reading:□优E□良G□一般A□不会N
听/Listening:□优E□良G□一般A□不会N
说/Speaking:□优E□良G□一般A□不会N
学习汉语时间/How long have you studiedChinese
现有的HSK级别/Level of HSK
会何种其他语言/Proficiency in Foreign Languages
护照号码
Passport No.
有效期
Valid Until
年/yy月/mm日/dd
职业
Occupation
学习或工作单位
Institution/Employer
永久通讯地址
Permanent Add.
电话/Tel.
传真/Fax No.
邮编/Zip Code
电子信箱/E-mail
是否预定学校宿舍?
Do you want to reserve room or bed on campus?
注意:请用黑色水性笔填写。不能缺项填写,没有的请写“无”。
Please write clearly inBLACK INK.Please write“None”if not applicable.
姓名
FullName
英文
EnglishName
姓/Family name:
名/Given name:
照片
电子信箱/E-mail
父亲/Father
母亲/Mother
配偶/Spouse
紧急情况联系人Emergency Contact Person
姓名/Name
职业/Occupation
联系电话/Tel.
电子信箱/E-mail
申请人保证/I hereby affirm that:
1)上述各项中填写的信息真实无误。如因个人信息错误、失真造成不良后果,责任由本人承担;
所获证书
Diploma Received
工作经历Employment Record
工作单位
Employer
起止时间
Time (from/to)
从事工作
Work Engaged
职务
Position
汉语水平,请用“优、良、一般、不会”评价。
Chinese Level (Excellent/Good/Average/None)
Photo
中文
ChineseName
国籍
Nationality
性别
Gender
□男/Male
□女/Female
出生日期
Date of Birth
年/yy月/mm日/dd
出生地点
Place of Birth
国家/Country:
城市/City:
宗教信仰
Religion
婚否
Marital Status
□已婚/Married□未婚/Single
来华学习计划Proposed Study in China
申请类别/Category
□本科生/Bachelor’s Degree□硕士研究生/Master’s Degree□博士研究生/Doctor’s Degree
□语言生/Language Student□普通进修生/General Scholar□高级进修生/Senior Scholar
2)在中国学习期间遵守中国的法律和法规和学校的规章制度;
I shall abide by the laws and decrees of the Chinese Government and the regulations of the university.
3)不从事学习目的以外的活动,按时缴纳学校规定的学生应该交纳的各项费用。