DOC《西北农林科技大学》

西北农林科技大学 地址:中国 陕西 杨凌 邰城路3号南校区国际学院

712000 传真:+86(0)29-87080182 学院

邮箱:admission@nwsuaf.

edu.cn Northwest A&F University Address:College of International Education, No.3 Taicheng Road, Yangling, Shaanxi, China,

712100 TEL: +86(0)29

8708 0182 Email: [email protected] 请打印表格或者用印刷字体填写并邮寄到以上地址. Please print the form or fill in the printed font and post it to the above address . 申请表 APPLICATION FORM 个人基本信息:Personal Information: 1.姓氏 Surname 2.名字 Given Name Photo照片 3.中文姓名 Chinese name 4.性别 Gender 5.出生日期(YYYYMMDD) Date of Birth 6.婚姻状况 Marital Status 7.国籍 Nationality 8.母语 Native Language 9.护照号码 Passport No. 护照有效期 (YYYYMMDD) Date of Expiration 11.出生地点/国家 Country of Birth 12.出生地点/城市 City of Birth 13.宗教 Religion 14.当前联系电话 Present Contact Tel 15.当前联系E-mail Present Contact E-mail 16.当前联系地址 Present Contact Address 17.在华联系机构或联系人 Name of Contact Person or Organization in China Add: Tel:E-mail: 18.紧急事件联系人 Contact Person in case of emergency Add: Tel:E-mail: 受教育情况及工作经历:Education and Employment : 最高学历Highest Education 19.学校 Name of University 20.在校时间 Years Attended 21.主修专业 Field of Study 22.毕业证书及学位证书类别 Qualification(eg. BA. BSc) 其他学历 Other Education Certificates 23.学校 Name of University 24.在校时间 Years Attended 25.主修专业 Field of Study 26.毕业证书及学位证书类别 Qualification (eg. BA. BSc) 来华前工作单位 Employment 27.工作单位 Employer 28.起止时间 Employment Duration 29.从事工作 Work Engaged 30.职务及职称 Title & Academic Position 语言能力:Language Proficiency: 31.汉语水平 Chinese Proficiency 32.HSK考试等级或其他类型汉语考试成绩 Obtained HSK Certificate and Level 33.英语水平 English Proficiency 34.英语能力证书 English Proficiency Certificate and Score 学习计划:Study Plan: 35. 留学类别 Apply as ( 语言生 Language student ( 本科生 Undergraduate ( 硕士研究生 Master Student ( 博士研究生 PhD Student ( 进修生 Non-degree student ( 其他 others 36. 经费来源 Sources of Support ( 自费/Self-Supporting ( 奖学金Scholarship ( 其他Other 37.申请专业 Major Applying for 38.授课语言 Preferred Teaching Language 39. 学习期限自 年月至年月Duration from yr mo. to yr mo. 其它联系方式: Other Contacts: 40.父亲姓名 41.父亲职业 Father' s Name Father's Occupation Tel:E-mail: 42.母亲姓名 42.母亲职业 Mother's Name Mother's Occupation Tel:E-mail: 43. 声明/Statement of Commitment 我确定将在该校按规定时间进行选定项目的学习.我谨声明根据申请表提供的所有材料真实可靠. I hereby confirm that I will join the program I chose at Northwest A&F University for the stated period. I declare that all statements I submitted are true. 本人署名Signature:日期Date: 以下材料请于提交申请表格时一起提供. Please submit the following documents with the application form. 44.毕业证书、学历证书复印件公证件 Graduation certificates and the degree certificates (Notarized Copy) 45.汉语水平证明/英语水平证书复印件 Photocopies of Chinese proficiency certificate(HSK)/ English proficiency certificate 46.经济担保证明 Financing statement 47.护照复印件 Copy of your passport(the page with personal information on it) 48.《外国人员体格检查记录》复印件 Copy of Physical Examination Record for Foreigners 49.证件照两张 Two passport-sized photos 50.无犯罪记录证明 Certificate of No-Criminal 51.经毕业院校确认的成绩单复印件(仅学位生需要) Transcript of Highest Education (Notarized Copy, degree program students only) 52.推荐信两封(仅学位生需要) Two reference letters from two associate professors or above(degree program students only) 53.学习或研究工作计划(仅学位生需要) Study or research proposal in English(degree program students only) 54.发表论文(仅学位生需要) Publications(if you have, degree program students only) 55.本校教授接收信(仅学位生需要) Acceptance Letter of potential Supervisor(degree program students only)