Application Form for International Students
东南大学留学生入学申请表
Name 姓名 | In English 英文 (The full name on your passport.) | Photo 照片 | ||||
In Chinese, if you have中文 | ||||||
Nationality 国籍 | Marital Status 婚姻状况 | □Married已婚 □Single 未婚 | ||||
Passport No. 护照号码 | Gender 性别 | □Male男 □Female 女 | 宗教Religious Belief | |||
Permanent Mailing Address, Tel. No., E-mail. 长期通信地址、电子邮箱 和电话号码 | ||||||
Date of Birth 出生日期 | | Place of Birth 出生地点 | ||||
Highest Academic Degree Obtained 最高学历/学位 | | Occupation 职业 | ||||
Employer or Institution Where You Studied or Worked 在何机构工作/学习 | Intended Field of Study 申请学习的专业 | |||||
Teaching Language 教学语言 | □English 英语 □Chinese 汉语 | |||||
Present Level of the Chinese Language 汉语水平 | □ 很好excellent; □好good; □较好fair; □差poor; □不会none 汉语水平考试等级HSK Level ________ | |||||
Intended Duration of Study 希望学习的期限 | From Month Year To Month Year 从 年 月 至 年 月 | |||||
Program 学生性质 | □Undergraduate 本科生 □General Advanced Student 普通进修生 □Master’s Candidate 硕士研究生 □Senior Advanced Student 高级进修生 □Ph.D. Candidate 博士研究生 □Short-term Student 短期生 □Language Student 语言生 □Exchange Student 交流生 | |||||
Reference 推荐人 | ||||||
Financial support will be provided by 学习费用由谁支付? | ||||||
(Note: Please tick√ by the item you choose)
Signature of the applicant: Date:
签名: 日期: