陕 西 理 工 大 学

SHAANXI  UNIVERSITY OF TECHNOLOGY

                                 

外国留学生入学申请表

APPLICATION FORM FOR FOREIGN STUDENTS

注：请申请人用中文或英文印刷体填写

Notice: This form is to be completed by the applicant in Chinese or English

姓名Name:   Same as in the passport 姓/Family   Name 名/Given Name			中文姓名/Chinese Name		性别/Sex  M□   F □			Picture Passport   Size
			护照号码/Passport   No.		国      籍 Nationality
职业/Occupation	婚否/Marital Status 已婚/Married □ 未婚Single    □			出生日期/Date of Birth 年/Year月/Month日/Day        /      /      /		出生地/Place of Birth		照  片 护照用
国外通讯地址/Permanent or Present Address & Telephone Number					工作或学习单位/Current Employer or School
最后学历/Previous   Education		来华学习专业/Specialty of Study in China					留学期限/Duration,自/From 年Year月/Month to年Year月Month          /      /to         /     /
学生类别/Student   Status:  语言进修生□  普通进修生□  本科生□
推荐单位/The   Organization or Person Who Recommends You for the Study
在华事务担保人或机构/Name or Organization of Guarantor in China   地址、电话/Address   & Tel:
现有汉语水平/Present Level of Chinese:     初级/Beginner□   中级/Intermediate□   高级/Advanced□
经费来源/Source   of Funding: 经费担保人/Financial   Support Will be Provided by:
本人简历/Resume:
在华住宿要求/Accommodation Requirement:双人间/Double Room□    单人间/Single Room□  其他/Other□
备注/Remarks:

申请人保证/ I hereby affirm that:

1, 上述各项中所提供的情况真实无误 / All the information in this form a accurate and truthful.

2, 在中华人民共和国学习期间，遵守中华人民共和国法律和学校的规章制度/ I shall abide by the law of the People’s Republic of China and the regulation of Shaanxi University of Technology.

3, 接受陕西理工大学的学习安排 / I shall accept the arrangement of Shaanxi University of Technology regarding my studies.

学校地址/School Address: 陕西理工大学国际合作与交流处，中华人民共和国陕西省汉中市汉台区朝阳路， 723001

       Office of International Exchanges, Shaanxi University of Technology

       Chaoyang Road, Hantai District, Hanzhong City, Shaanxi Province, People’s Republic of China, 723001

 

日期：           年     月      日                    申 请 人 签 字:

Date:  ___________Y______M______D                   Signature of Applicant: _________________________