APPLICATION FORM FOR INTERNATIONAL STUDENTS
AT SHIJIAZHUANG TIEDAO UNIVERSITY
1.个人基本情况
| 护照用名 Name in passport | 姓 Family name | 中文名 Chinese name | ||||||||||
| 名 Given name | ||||||||||||
| 国 籍 Nationality | 出生地点 Place of birth | |||||||||||
| 出生日期 Date of birth | 男 □Male 女 □Female | |||||||||||
| 护照号码 Passport No. | 有效期限 Expiration | 已婚 □Married 未婚 □Single | ||||||||||
| 现工作单位 Current employer | ||||||||||||
| TEL: | FAX: | |||||||||||
| 永久通讯地址 Home address: | ||||||||||||
| TEL: | E-mail: | |||||||||||
| 学习/研究期限 Duration of study Or research | 从from 到to | |||||||||||
| 汉语水平 HSK | 其它语言 Other Language | |||||||||||
| 经费来源 Source of Funding | □ 奖学金 Scholarship □ 自费 Self-support □其他 Others | |||||||||||
| 留学类别 Program applied for | 攻读学位 Degree program | Program Name: Level:□本科生/B.A.□硕士研究生/M.A. □博士研究生/Ph.D. | ||||||||||
| 不攻读学位 Non-degree program | □ 语言Language student □ 普通进修生Advanced student □ 高级进修生Senior advanced student | |||||||||||
| 介绍来华单位 或个人 Recommended by | 通讯地址Mailing Address: | |||||||||||
| 电话(TEL): | E-mail: | |||||||||||
2.履历 Education & Employment Background:
| Yr./Mo.-----Yr./Mo. | 单位previous and current education institutes & employers | 备注 | 
3.家庭情况 Family Background:
| 姓名 Name | 关系/ Relationship | 年龄 Age | 职业 Occupation | 
| Tel: E-mail: | |||
4. 紧急联络人资料 Emergency Contact Information
| Name | Relationship | ||
| Tel | |||
| Address | |||
5. 申请人担保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 given in this form is true and correct:
② 在中国学习研究期间将遵守中国政府的法律和新澳门新葡萄娱乐(中国)官方网站的规章制度:
I shall abide by the laws of the Chinese Government and the regulations of Shijiazhuang Tiedao University.
③ 接受新澳门新葡萄娱乐(中国)官方网站对学习专业和课程的安排.
I shall accept the arrangements made by Shijiazhuang Tiedao University regarding my field and courses of study.
④ 按时缴纳学校规定的学生应该缴纳的各项费用。
I will pay all expenses on time.
申请人签名Signature:_________________________
日期Date:________________________