姓名
Name

姓
Family Name

(please print)

照片
Photo

名
Given Name

(please print)

国籍
Nationality

性别
Gender

护照号码
Passport No.

护照有效期
Valid until

出生日期
Date of Birth

年       月       日
Year     Month     Day

婚姻状况
Marital Status

出生地
Place of Birth

宗教信仰
Religious Belief

健康状况
Physical Status

最后学历
Highest Academic
Degree Obtained

专业
Major

现学习或工作单位
Current Employer or College Affiliated

职业
Occupation

永久通讯地址
Permanent Address

联系电话
Telephone No.

传真
Fax No.

电子邮件
E-mail Add.

本人简历/Education & Work Experience

汉语水平
Proficiency of Chinese Language

汉语学习时间/Time for Chinese Learning:            
HSK等级/Band of HSK Achieved:             

申请学院
Preferences of College of Study

申请专业
Subject or Field of Study

申请学习时间
Duration

自/From:       年/Year       月/Month
至/To:        年/Year       月/Month

留学类别/Categories of International Students

1. □本科生/Bachelor’s Degree Candidate;
2. □硕士研究生/Master’s Degree Candidate;
3. □博士研究生/Doctor’s Degree Candidate;
4. □汉语进修生/Chinese Language Student;
5. □高级进修生/Advanced Studies Student;

费用来源
Financial Support

□奖学金/Scholarship      □自费/Self-supporting      □其他/Other

在华事务担保人姓名、联系电话及联系地址:
Name, Tel & Address of the Guarantor Charging Your Case in China:

担保人签字/Guarantor’s Signature:                           日期/Date:               

申请人保证/I hereby confirm that:

1. 上述各项申请中填写的情况是真是无误的。

All the information in this form is true and correct to the best of my knowledge and belief.

1. 在浙江理工大学学习期间，遵守中国的法律和学校的规章制度。

I shall abide by the Chinese laws & the regulations of Zhejiang Sci-Tech University.

申请人签字/Applicant’s Signature:                            日期/Date:               

主管部门意见
Advice of the Academic Affairs Division

负责人签字（单位盖章）:                   
Director’s Signature(Seal)                                   日期/Date:               

备注
Remarks

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