西南大学外国留学生入学申请表

Application Form for Foreign Students to SWU Apply No.:20220300260

申请人信息/Personal Information
护照姓名 姓/Surname： MANZI
姓名 Passport Name 名/Given Name： VIVIER
Name 中文姓名（不超过6个汉字）
简尼
In Chinese (no more than 6 Characters)
出生地点/Place of Birth 出生日期/Date of Birth
中国 NEMBA-GAKENKE 1998-02-22
国籍/Nationality 婚否/Marital Status 健康状况/Health Status
卢旺达 单身 Excellent
宗教/Religion 母语/Native Language 爱好/Hobbies
基督教 英语 SPORTS,READING BOOKS,HIKING
性别/Gender 护照号码/Passport No. 护照有效期/Passport Validity
男 PC637974 2031-05-05
最高学历/Highest Diploma 职业/Occupation 工作或学习单位/Employer or Institution
本科 学生 YANGTZE NORMAL UNIVERSITY
手机/Cell-phone 电话/Telephone 电子邮件/E-mail
+250-78-8842971 +86-13-028352831 viviermanzi@gmail.com
联系地址（录取通知书邮寄地址）/ Present Address (Mailing Address：House Number, Street Name,
District Name,City Name, Zip Code and Contact Person)

重庆市涪陵区李渡，聚贤大道16号长江师范学院集贤雅舍20号楼 重庆 China MANZI VIVIER +86-

详细的永久居住地址/Permanent Residence Address in details
NM257-12,MUSANZE-NORTHERN PROVINCE,Rwanda
语言能力/ Language Proficiency
汉语能力
Chinese Proficiency
英语能力
英语能力:很好
English Proficiency
教育背景（从高中起）/Educational Background (From High School)
在校期间 (From/To) 学校 (Institutions) 所获学历（Certificate）
2018-09-03 — 2022-06-30 YANGTZE NORMAL UNIVERSITY 本科

2015-01-05 — 2017-11-17 G.S St Aloys Rwamagana 高中

2012-01-09 — 2014-11-21 Esc MUSANZE 初中

本人工作经历/Employment Record
起止时间 (From /To) 工作单位 (Employer) 职务及职称 (Posts Held)
 留学中国计划/Study Plan in China
非学历生项目/Non-degree Programs 学历生项目/Degree Programs
硕士研究生/Master Student
申请院系/Department: 教育学部 学习期限/Duration: 2022-08-29 to 2025-07-31
申请专业/Major: 教育经济与管理 经费来源/Funds: 中国地方政府奖学金
专业方向/ Major Orientation： -
申请人亲属情况/Family Members
姓名/Name 职业/Occupation 电话/Tel.
母亲/Mother NYIRANZAGE CHARLOTTE worker,goverment and +250788842971

父亲/Father BUTUNGE NDAMIYABERA PASCAL worker,goverment and +250788424671

推荐单位（人）信息/ Information for Reference

姓名/Name 工作机构/Organization 电话/Tel. 邮箱/E-mail
YONGJUAN YU YANGTZE NORMAL +86-15-025679229 592701185@qq.com
联系地址/Address NO 16 JUXIAN RD, FULING DISTRICT, CHONGQING 408100, P.R CHINA
在华事务担保人/ The Guarantor Charging Your Case in China
姓名/Name 工作机构/Organization 电话/Tel. 邮箱/E-mail
GIWA ABDULMOSEEN YANGTZE NORMAL +86-23-72782170 guoxiaogang@yznu.edu.
联系地址/Address NO 16 JUXIAN RD, FULING DISTRICT, CHONGQING 408100, P.R CHINA
经济担保人或机构/Financial Guarantee
姓名/Name 工作机构/Organization 电话/Tel. 邮箱/E-mail
BUTUNGE NDAMIYABERA goverment and +86-15-025679229 butunge@yahoo.fr
联系地址/Address MUHOZA-MUSANZE-NORTHERN PROVINCE-RWANDA
申请人保证/I hereby affirm that
1.申请表中所填写的内容和提供的材料真实无误的。
All the information given in this form is true and correct.
2.在华期间，遵守中国的法律法规，不从事任何危害中国秩序的、与本人来华学习身份不相符的活动。
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 the social order in China and inappropriate to the
capacity as a scholar or student.
3.在学期间，遵守学校的校规校纪，全力投入学习和研究工作，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 following the teaching programs made by the university.

日期/Date: 2022-03-31 申请人签名/Applicant's signature:

◆若无签字，则视为无效申请/ The application is invalid without the applicant's signature.