中文名/Chinese Name：________________________
护照姓名/Passport Name：________________________
国籍/Nationality：________________________
护照号码/Passport Number：________________________
出生日期/Date of Birthday：____年/Year ____月/Month ____日/Date
男/Male：□ 女/Female：□ 已婚/Married：□ 未婚/Single：□
宗教/Religion：________________________
当前联系地址/Present Address：____________________________________________
电话/Tel：________________________ 邮箱/Email：___________________
永久通信地址/Permanent Address：_________________________________________
2、受教育情况（从高中开始，含预科或大专/本科（如有））/Education Background (from high school(Includes foundation courses or college/bachelor's program (if available))
学校 Institution | 在校时间 Years Attended (from/to) | 主修专业 Fields of Study | 毕业证书及学位证书 Certificate Obtained or To Obtain |
3、语言能力/Language Proficiency
a）汉语/Chinese：HSK考试等级/Level of HSK test： ________
HSKK考试等级(如有)/Level of HSK test (if available)： ________
b）英语/English：IBT___________________或者/or IELTS：____________________
4、学习计划/Proposed Study
a）申请专业1/Applied Major 1：_____________________________
b）申请专业2/Applied Major 2：_____________________________
5、申请人在华事务联系人或机构/The Guarantor Charging Your Case In China：
名称/Name：________________________ 电话/Tel：________________________
申请人保证/I Hereby Affirm That：
申请表中所填写的内容和提供的材料真实无误；
All information and materials given in this form are true and correct.
在华期间，遵守中国的法律、法规，不从事任何危害中国社会秩序的、与本人来华学习身份不符合的活动；
During my stay in China, I shall abide by the laws and decrees of the Chinese government, 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.
在学期间，遵守学校的校纪、校规，全力投入学习和研究工作。尊重学校的教学安排；
During my study in China,i shall abide the rules and regulations of the host university, and concentrate on my studies and researches, and follow the teaching programs arranged by the university.
申请人签字/Signature of the Application：________________________
日期/Date：______________
（无此签名，申请无效/The application is invalid without the applicant’s signature）
