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附件4:淮阴工学院外国留学生学习申请表

发布者: [发表时间]:2017-01-20 [来源]: [浏览次数]:

附件4

淮阴工学院外国留学生学习申请表

APPLICATION FORM FOR FOREIGNERS WISHING TO STUDY IN

HUAIYIN INSTITUTE OF TECHNOLOGY

 

地址: 中国江苏省淮安市清浦区枚乘东路1号淮阴工学院国际教育学院               邮编(Zip Code): 223003

Address: Room 801, School of International Education, Huaiyin Institute of Technology, No.1 Meicheng Road, Qingpu District, Huaian, Jiangsu Province, 223003, China                                                                        电话(Tel): +86-517-83591070, +86-517-83559103

网址(Website): http://www.hyit.edu.cn/                             Email: jinlu1988@hyit.edu.cn

 

1.个人情况/Personal statement

护照用名

Full legal Name   (Same as in Passport)

/Family name:

照片

Photo

3cm×4cm

/Given name:

中名/Middle name:

中文姓名

In Chinese (if   any)


国籍/母语:

Nationality/  

Native Language

            /

护照号码/有效期

Passport No. /   Validity until:

 

yy     mm     dd

性别/Gender:

¨/Male ¨/Female

宗教/Religion:

 

婚姻状况

Marital Status

单身Single

□ 已婚Married

出生日期(年//日)

Date of Birth (Y/M/D)

        /Year    /Month       /Day

出生地点

Place of Birth

城市///City/State/Province:

 

特长爱好

Special Skills   or Interest


国家/Country:

 

永久通讯地址/Permanent Home Address:

 

电话/Tel:

传真/Fax:

Email:

目前通讯地址/Current Mailing Address If Different from Permanent Address:

 

电话/Tel:

传真/Fax:

Email:








 


2. 语言能力和学习计划/Language Proficiency and Study Plan

语言能力(请自评“很好//一般”)/ Language Proficiency (Please   evaluate your ability as “Excellent/Good/Fair”)


/reading

/speaking

/writing

中文/Chinese




英语/English




来华留学申请类别

Categories of   Foreign Students

¨ 本科生/Undergraduate   Student

¨ 硕士研究生/Master’s   Candidate

¨ 语言进修生/Chinese   Language Student

¨ 短期进修生/Short-term   Visiting Student(less than 6 months)

¨ 长期进修生/Long-term   Visiting Student

学习专业或研究课题(请参见招生专业目录)

Field of Study,   Please Refer to the Catalog of Programs


学习时间/Duration of study

/From                  /to  

在华学习或研究的详细计划,请另附页。

Statement of   your study or research in Jiangsu University, using a separate sheet.







 

3. 本人学历(从高中开始)/Educational Background (Starting from High School)

校名/School Name

地点/Location

专业/Major

时间/Dates Attended

所获学位/Degree Awarded





















 

4. 本人工作经历(从当前工作开始)/Work Experience (Starting from Current Position)

工作单位/Employer

地点/Location

时间/Dates Attended

职位/Position

















 


5. 曾发表的作品和论文/Publications and Thesis




 

6. 经济保证人/ Financial Sponsor

经济保证人姓名/Financial Sponsor's Name


地址/Address


电话号码/ Tel


与申请人关系/Relationship with the Applicant


保证人签名/Sponsor's Signature


 

7. 在华事务联系人或机构/ Person or Agency to Action Your Behalf in China

姓名或机构名称/Name of The Person or Agency


联系地址/Address


联系电话/Telephone


 

8. 派遣方或推荐人意见/Comment of Sponsor or Recommending party

意见/Comment


签名/Signature


日期/Date


 


9. 申请人保证/I hereby affirm: 

1.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.

2.在华其间,遵守中国的法律、法规,不从事任何危害中国秩序的、与本人来华学习身份不相符的活动;

During my stay in China, I shall abide by the laws and decrees of the Chinese government, and will not participate in any activities, which are deemed to be adverse to the social order in China and inappropriate to the capacity as a scholar or a student.

3.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 observe the rules and regulations of the university, and will concentrate on my studies and researches, and will follow the teaching programs made by the university. 

4.按规定修完学业,按期回国,不无故在华滞留;

I shall return to my home country as soon as I complete my scheduled program in China, and will not extend my stay without valid reasons.

5.入境后立即到学校办理报到手续,并在30天内到镇江市公安局办理居留手续,逾期所受处罚的一切费用自理。

I’d like to go through all the procedures of registration to the university as soon as I arrive. I will apply within thirty days of arrival for the residency permit to the Zhenjiang Municipal Public Security Bureau otherwise I have to pay the forfeit for the delay.

 

申请人签名/Signature of the applicant:                       日期/Date:           

 无此签名,申请无效/The application is invalid without the applicants signature

 

10. 申请人在递送本申请表的同时,请提交/Please send with this form

学历生所需材料Relative documents required for Degree and Scholar applicants:

(1)       护照复印件/One photocopy of your   passport(photo page)

(2)       最后学历证明/An official certificate of your   highest education (or notarized photocopy)

(3)       学习成绩单/Official academic   transcripts (or notarized photocopy)

(4)       推荐信/Two letters of recommendation   (original)

(5)       家庭收入证明/ An official Certificate of   your sponsor’s true family financial situation;

(6)       健康证明/ Certificate of your health   examination records

无论申请人是否被录取,上述申请材料恕不退还

Whether the   candidate is accepted or not, all the application materials will not be   returned

 

Notice: Please fill in this form in capital letter. Duplication of this form is available.





 



注意事项/Note:

申请人须用中文填写或用英文印刷体填写,其它文字或缺项填写的申请表无效。

This form is to be completed in Chinese or English (print) only. An incomplete application or complete in language other than Chinese or English is invalid.

附件4:淮阴工学院外国留学生学习申请表.doc