名 Given   Name

中 文

In Chinese

国 籍

Nationality

男   /Male □

女/Female □

未婚/ Single □

已婚/Married □

宗教信仰

Religion

出生日期

Date of Birth

年/Year 月/Mon 日/Date

出生地点

Place of Birth

国家/Country

城市/City

家庭地址

Home   Address

电话号码

phone

学校名称、地址

The school Name Address

校长或老师电话principal or teacher phone

电子邮件

E-mail

Facebook\Whatsapp

护照号码

Passport No.

护照有效期

Valid until

年/Year 月/Mon 日/Date

学习经历Educational Experience:

工作经历Work experience:：

汉语水平Chinese language proficiency: 不会None □ 初级Basic □ 一般Intermediate □流利Fluent □

英语水平 English language proficiency: 不会None □ 初级Basic □一般Intermediate □   流利Fluent □

本国语言Native language：

留学生类别Categories of international students:

语言生Language student □ 专科生Junior college student □ 本科生Undergraduate □

硕士研究生 postgraduate □ 博士研究生 Doctoral   candidate □

爸爸或妈妈的姓名、年龄、职业。Father's or mother's name, age, occupation

申请人保证：

1． 上述各项中所提供的情况是真实无误的；

I hereby affirm that:

1. All the information in this form is true   and correct;

2. I shall abide by the laws of China and   the regulations of the School, and will not participate in any activities ,which are deemed   to be adverse to the social order in China and are inappropriate to the   capacity as a student.

Scholarship application email   address:：2002b@163.com.

不要签名、不要打印，保持word文件 Do not sign, do   not print, and keep wordw files

材料清单：护照、毕业证书、成绩单、无犯罪记录、体检表、照片、报名表（硕士、博士增加：教授推荐信2个、学习计划、获奖证书、发表的论文）。

如果他已经在中国，需要中国签证页；如果他是在校学生，须提交本人就读学校的预毕业证明。

以word文件格式，学校要复制文字。In word file format, the   school should copy the text.

List of materials:   passport, graduation certificate, report card, no criminal record, physical   examination form, photo, application form (increase of master's degree and   doctor's degree: 2 letters of recommendation from professors, study plan,   award certificate, published thesis).

If he is already in   China, he needs a Chinese visa page; if he is a student in school, he must   submit the pre-graduation certificate of his school.

学院招意见

Views of Admissions Department

签字/Signature: _____________ 日期/Date _______年/Year ______月/Month   _____日/Day

国际处意见

Views of International Office

签字/Signature: _____________ 日期/Date _______年/Year ______月/Month   _____日/Day