护照用名 /Name in passport | 姓/Family name | 中文名 /Chinese name: | 照片 Photograph | ||
名/Given name | |||||
国籍 /Nationality | 护照号码 /Passport No. | ||||
出生日期 /Date of birth | 年月日 /year /month /date | □男/Male □女/Female | □已婚/Married □未婚/Single | ||
出生地点 /Place of birth | 宗教 /Religion | ||||
最后学历/ Highest academic qualification | 职业或身份/Occupation | ||||
工作或学习单位/Study or work place | 母语/Native language | ||||
永久通讯地址/Address: 电话/Tel: 传真/Fax: E-mail: | |||||
汉语/英语水平/ Chinese/English language proficiency Chinese: None HSK Level ___ others___ English: None IELTS___ TOEFL___ others___ | |||||
申请学习类别/Applying Program: 1. 层次/Program type: □本科/Bachelor □专科/Junior College 2. 专业/Major: ______________________________________________ 3. 学习时间/Study duration从/from 年/Y 月/M 日/D 到/to 年/Y 月/M 日/D 4. 奖学金种类/Scholarship type: □一类/Type A □二类/ Type B | |||||
家庭主要成员/Family members 姓名/ Name关系/Relation 电话和传真/ Tel. & Fax 工作单位/Workplace职位/ Post | |||||
本人简历(从高中开始)/Curriculum vitae(Starting from senior middleschool) 年/Y 月/M 到/to 年/Y 月/M Institution Position eg:2012.06—2014.06 xx middle school student | |||||
我愿意到西安学习,在校学习期间保证做到下列各项: 1. 遵守中华人民共和国法律。 2. 遵守学校的各项规章制度,努力学习。 3. 按时缴纳学校规定的学生应该缴纳的各项费用。 4. 上述各项中填写的内容是真实无误的。 I am willing to study in Xi’an, and pledge the following terms during my study: 1. I will abide by the laws of the People’s Republic of China. 2. I will abide by the rules and regulations of the school and study hard. 3. I will pay all expenses on time. 4. All the information in this form is true and correct. 学生本人签字/Applicants signature: 日期/Date: |
附件:1_中亚五国申请表+Five+Central+Asian+Countries+Scholarship+Application+From.doc