国际学生入学申请表

Application Form for International Students

姓名:            姓/Family Name           

/Given Names

Name:

照片

Photo

中文名/Chinese Name


性别/Gender:

/Male □ /Female

国籍/Nationality:


护照号码/Passport No.:


护照有效期/Passport valid until:


出生日期:年     月     日

Date of Birth:        y.      m.     d.

出生地点:城市/City      国家/Country

Place of Birth:

宗教信仰/Religion:


婚姻状况/Marital Status:


职业/Occupation:


工作或学习单位/Employer or Institution Affiliated:


最后学历/Highest Academic Degree Obtained:


家庭地/Home Address:


联系电话/ Phone No. in Home Country:


电子邮件/ E-mail:


经费来源   Source of Funding

自费

Self-supporting

担保人姓名/Guarantor's name:

与申请人关系/Relationship with the applicant:

地址和电话/Address &Phone No.:

校际交换

University Exchange

学校名称/University:

联系人/Contact Person:                        

工作部门/Department:

地址和电话/Address &Phone No.:

奖学金

Scholarship

奖学金名称/Scholarship:

提供奖学金单位/Provided by:

地址和电话/Address &Phone No.:                            

学习经历(从高中起填写)  Educational BackgroundFrom High School

学校名称

Institution

在校时间

Years Attended (from/to)

主修专业

Field of Study

所获文凭

Diploma/Degree Obtained

















语言能力       Language Proficiency

母语/Native Language :

英语/English   □ / Good       □  一般/ Average      □  不会/ None

汉语/Chinese   □ / Good       □  一般/ Average      □  不会/ None

HSK_______

学习计划

Study Plan

交换学习

Exchange Program

一学期 1 Semester   两学期   2 Semesters

汉语学习

Chinese Program

一学期 1 Semester   两学期   2 Semesters

短期学习

Short-Term Program

两周   2 weeks   三周     3 weeks

四周   4 weeks     □ 四周以上 4 weeks+

本科学习

Undergraduate Program

专业/ Major:

插班学习

Transfer

专业/ Major:

申请人保证/I hereby affirm that:

  1. 上述各项中所填写的内容和提供的材料真实无误/All information and materials provided here are true and correct;

  2. 在华期间,遵守中国的法律和法规,不从事任何危害中国社会秩序、与本人来华学习身份不相符合的活动/ During my stay in China, I shall abide by the laws and decrees of the Chinese government, and will not participate in any activities which are deemed to be adverse to the social order in China and are inappropriate to the capacity as a student;

  3. 在学期间,遵守学校的校纪校规,尊重学校的教学安排/ During my study in China, I shall observe the rules and regulations of the university, and will concentrate on my studies and researches, and will follow the teaching programs provided by the university.

申请人签字Applicant’s Signature: ___________________       日期Date: _______________


Add: International Students Office, No.2727 Jinhai Road, Pudong, Shanghai 201209 P. R. China

Tel: +86-21-20262088        Email: iso@sandau.edu.cn      Website: www.sandau.edu.cn