九江学院外国留学生入学申请表-国际交流合作处

九江学院外国留学生入学申请表

APPLICATION FORM FOR FOREIGNERS WISHING TO STUDY IN JIUJIANG UNIVERSITY

地址：中国江西九江学院国际合作交流处 332000 电话/Tel:+86-792-8312891

Address：International Office 传真/Fax: +86-792-8313811

Jiujiang University, 551 Qianjin Donglu, Jiujiang, Jiangxi, 332005, P.R.China电子邮件/E-mail: international@jju.edu.cn

1. 护照用名/Full legal name

姓/SURNAME 名/FIRST MIDDLE

2. 中文姓名/Chinese name

姓/SURNAME 名/FIRST

3. 国籍/Country of citizenship 4. 护照号码/Passport No.

5. 性别/Gender ¨ 男/Male ¨ 女/Female 6. 婚姻状况/Marital status

7. 出生日期(年/月/日)/Date of birth(y/m/d) / / 8. 出生地点/Place of birth

州/省/STATE/PROVINCE, 国家/COUNTRY

9. 永久通讯地址/Permanent home address

传真/FAX 电话/TELEPHONE

10. 目前通讯地址/Current mailing address if different from permanent address

传真/FAX 电话/TELEPHONE 电子邮件/E-MAIL

14. 本人学历(从高中开始)/Educational Background (Starting from high school)

校名/Name 地点/Location 专业/Major 时间/Dates attended 所获学位/Degree Awarded

15. 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

16. 语言能力(用优、良、可)/Language Proficiency (Excellent, good, or fair)

语言/language 读/reading 写/writing 说/speaking

中文/Chinese

英语/English

17. 曾发表的作品和论文/Publications and themes

18. 特长爱好/Special skills or interest

19. 在华学习或研究的详细计划，请另附页。Statement of your study or research in Jiujiang University, using a separate sheet.

20. 经济保证人姓名/Financial Sponsor’s name

地址及电话号码/Address & Tel

与申请人关系/Relationship with the Applicant 保证人签名/Sponsor’s Signature

21. 在华事务联系人或机构/Person or agency to act on your behalf in China

地址及电话号码/Address & Tel

22. 派遣方或推荐人意见/Comment of sponsor or recommending party

签名/Signature 日期/Date

申请人保证/I hereby affirm: 1. 上述情况真实无误。I have reviewed the above information, and it is true and complete to the best of my knowledge. 2. 在中国学习期间遵守中国政府的法律和学校的规章制度。I shall abide by the laws of the Chinese government and the regulations of the University.

申请人在提交本申请表时，需要同时提交下列表材料:

1) 护照复印件和签证复印件

2) 最高学历证书

3) 学习成绩单

Applicant must submit the following documents with this form when applying

a) The copy of passport and visa

b) The copy of your highest academic degree

c) The transcripts

申请人签字/Signature 日期/Date