中文in Chinese

姓 名

国籍

Nationality

性别

Sex

男Male□

婚姻状况

Marital Status

是Yes□

Female□

否No□

出生日期

Date of Birth

year month date

出生地点

Place of Birth

健康状况

Health Status

宗教信仰

Religion

文化程度

Highest Education

护照号码

Passport No.

护照有效期

Valid until

year month date

通讯地址

Mailing Address

电话(TEL):

传真(FAX):

电子信箱

E-mail

现有汉语水平

Chinese Level

初级Junior□; 一般Average□;

好Good□; HSK Band（ ）

Duration and place of study Chinese in the past

职业

Occupation

留学类别

Categories of foreign students

语言进修生Chinese Language Student□ 本科生Undergraduate □

普通进修生General Advanced Student□ 硕士生Master’s candidate□

高级进修生Senior advanced student□ 博士生Doctoral candidate□

短期文化旅游生Short-tem cultural tour student□

住宿Requirement for accommodation

学校安排Arranged by school□我自己安排Arranged by myse lf□

学习期限：自20 年 月 日至20 年 月 日

Duration : From year month To year month

学习专业

Specialty

经费Financial support in China

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

担保人或机构(The person or agency to act on your behalf in China):

地址Address:

电话(TEL)： 传真(FAX)： 签字(Signature):

申请人保证：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 school.

3.在广州大学学习期间出现任何意外或经济问题，将由担保人负全部责任。

Should there be any emergency or financial problems occurred, my guarantor or agency will take the responsibilities.

申请人签名Signature Date: year month date

申请人在递交申请表的同时请递交

Applicant should submit the following documents and fee together with the application form:

1.50美元或300元人民币报名费。Application fee 300RMB or 50US$.

2.护照复印件。Photocopies of your passport.

3.最后学历证明、学习成绩单和两位教师的推荐信。(如果申请就读学位课程)

Official certification of your diploma/certificate, transcript and two professors’ letters of recommendation from your college. If apply for diploma program.