APPLICATION FORM

/Personal Information:
/Passport Name:
/Sur Name: ___________________________________________________
/Given Name: ____________________________________________________
/Nationality: ________________ /Passport No.: __________________
/Date of Birth: /Year_______/Month_______/Day_______
/Place of Birth: /Country:_____________ /City:_____________
/Male /Female /Married /Single /Other
/NativeLanguage:_______________________
/Religion:______________________________________
/Present
Address:___________________________________________________________________
/Tel: _____________________ /Fax: _____________________
E-mail: ________________________
/PermanentAddress:
_______________________________________________________________
/Education Background:
Institutions
1.

2.

3.

Years Attended [From/to](Y/M/D)

Fields of Study

Obtained or To Obtain

1. /Employment Record:
Employer
Time (from/to)(Y/M/D)
Work Engaged
Posts Held

/Proposed Study in China:

/Masters Degree Candidate

/Doctors Degree Candidate

/Preferences of Institutions of Higher Education in China:

/Subject or Field of Study in China:

/Family Members of the Applicants:

Name
Age
Employment
/Spouse: __________________________ ______________ _____________________________
/Father : __________________________ ______________ _____________________________
/Mother: __________________________ ______________ _____________________________

/Signature of the Applicant:____________________________

/Date:___________