DOC《武汉大学》

武汉大学WUHAN UNIVERSITY 外国留学生学习申请表 APPLICATION FORM FOR FOREIGN STUDENTS 1.

个人情况/Personal statement 姓名 Name 英文姓名(以护照用名为准) In English (Same as in your Passport) 姓/Family name: 照片Photo 名/Given name: 中文姓名 (如有) In Chinese (if have) 性别 Sex 国籍 Nationality 婚姻状况 Marital Status 护照号码/Passport No.有效期至/Valid Until 年/ Yr ______月/ Mon _______日/ Day 出生日期 年______月_______日Date of Birth Yr.Mon.Date 出生地 国家城市 Place of Birth Country City 最后学历 Education level 宗教信仰 Religion 母语 Native language 目前所在学校或机构 Place of study or work: 职业 Occupation 电话/Tel: 传真/Fax: Email: 录取通知书邮寄地址/Address for correspondence (Please inform us for any change of this address) 家庭住址 /Home Address 2.学习情况/Study situation 是否学过汉语 Have you studied Chinese? 是Yes 程度(请自评"很好/好/一般/不会") Level(Please evaluate your ability as "Excellent/Good/Fair/Poor.") 阅读 写作 会话 Reading Writing Speaking 否No 来武大学习的院系和专业 Department and major at WHU Department 学习时间 Duration of study _______年/year _月/Month 到/to _______年/year _月/Month Major Study type in WHU 学习类别 语言进修生/Chinese Language Students 本科生/Bachelor 硕士生/Master 博士生/Doctor 博士后/PPHD 普通进修生/General Scholar 高级进修生/Senior Scholar 经费来源 Funds 奖学金/Scholarship 自费生/Self-Supporting 交流生/Exchange 3.特长及爱好/Special skills or interests 4.申请人亲属情况/Family Members 姓名/Name 年龄/Age 职业/ Occupation 联系电话/Tel Email 父亲/Father 母亲/Mother 配偶/Spouse 5.推荐人情况/ Information for Referees 姓名/Name 工作机构/Organization 职务/Position 联系电话/Tel Email 6.在华事务担保人或机构/ The Guarantor Charging your case in China 姓名/Name 联系电话/Telephone 职业/ Occupation Email: 工作机构/Organization 联系地址/Address 7.申请人保证/I hereby affirm that (1)上述各项中所提供的情况是真实无误的/All the information I provided above is true and correct;

(2)在校学习期间遵守中国政府的法规和学校的规章和制度/I shall abide by the laws of the Chinese Government and the regulations of Whuhan University. 日期/Date 申请人签字/Applicant's signature_ 8.申请人在递送本申请表的同时,请提交/Please send with this form 语言进修生所需材料Relative documents required for Chinese Language applicants: 护照复印件/One photocopy of your passport 学位生及非语言进修生所需材料Relative documents required for Degree and Scholar applicants: 护照复印件/One photocopy of your passport 最后学历证明/An official certificate of your highest education (or notarized photocopy) 学习成绩单/An official transcripts (or notarized photocopy) 推荐信/Two letters of recommendation(original) 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 material will not be returned Notice: Please fill this form in capital letter. Duplication of this form is available. Contact address: School of International Education Wuhan University

430072 Wuhan, Hubei Province,P. R. China Tel: +86-27-87647553

68753912 Fax: +86-27-87863154 E-mail: [email protected] Website: http://www.whu.edu.cn/, http://sie.whu.edu.cn/