Tsinghua International Summer School - Experiencing China 2019

July 11-24, 2019, Tsinghua University, Beijing, China

Application Form
Please complete the application form in English. Application period: Jan. 18th - Apr. 30th (Partner university
nomination); Jan. 18th - May 31st (self-application). Please email your application form with your curriculum
vitae, official full academic transcript, photocopy of passport photo page, one electronic copy of your passport-sized
photo and proof of proficiency in English (if applicable) to: experiencing-china@tsinghua.edu.cn

Personal Information
Surname Shah Gender ✔ Male Female
First Name Hassan Ullah Date of Birth (DD/MM/YYYY) 30/03/1995
First Language Pashto
Nationality Pakistani
Second Language Urdu and English
Passport No. ZM5144181 Passport expiry date (DD/MM/YYYY) 22/01/2020
Have you been to P.R. China before? Dietary requirement
✔ No Yes For how long? Vegetarian
For what purpose? ✔ Special requirement Halal
Education
Home University University of Engineering & Technology (UET) Peshawar
Department/School/College Department of Civil Engineering
Degree type ✔ Undergraduate Postgraduate
Grade 1st year 2nd year 3rd year 4th year Other (please indicate)
Major 1 Major 2 (if applicable)
Contact Information
Email-address
Mobile phone (with country code) Landline (with country code)
Address City
State Country Post Code
Emergency Contacts (at least one; parent or close relative preferred)
1) Name Relationship Best Contact Phone
2) Name Relationship Best Contact Phone
Please provide a supporting statement about yourself. What is your greatest talent or skill, and how would
that benefit the community of Experiencing China 2019?

1
A statement of interest in the program

About the person who recommends you to this program (if applicable)
Name

Organization

Post held or Position

Email

Relationship with the applicant