1-International Student’s Application for Study in University of South China南华大学国际学生学习申请表

姓名

Name

姓/Family Name:

名/Given Name:

国籍

Nationality

性别

Sex

男Male  □

婚姻状况

Marital Status

单身 Single □

女 Female□

已婚Married □

出生日期

Date of Birth

年     月     日

Year   month   date

出生地点

Place of Birth

健康状况

Health Status

一般 Average □

  好 Good   □

宗教信仰

Religion

文化程度

Education Level

护照号码

Passport No.

护照有效期

Valid until

        年       月      日

       Year    month   day

通讯地址

Mailing Address

电话 Tel

邮箱 E-mail

  家庭住址

Home Add.

学生申请类别

Student Status

语言进修生   Chinese Language Student□   本科生Undergraduate□      研究生 Postgraduate □

学习期限：自       年         月   至     年       月

Duration:   From     year    month  to       year    month

学习专业:

Field of Study :

申请人教育背景   The Applicant’s   Educational Background

本人简历（从高中开始）/Curriculum vitae   (Starting from high school)

现有汉语水平/Current   Chinese Language Proficiency (Mark the following option about how many   Chinese characters you have grasped)

A. about 200     B. about 600     C .about 1000     D. over 2000   E. None

现有英语水平/   Current English Proficiency

A. Native    B.   Fluent    C. Communicable   D. Poor

学习经费来源/Sources of Funding for the Study

□自费/Self-Supporting       □奖学金/Scholarship   □其他/Other

推荐人信息 The Reference’s Information

姓名/Full Name

职业/Occupation

电话/Tel

推荐人承诺 The Reference’s Statement

I hereby verify that the information   provided by the applicant about his/her educational background is true and   authentic.

               Signature:                                       Date:

申请人家庭信息The Applicant’s Family Information

家庭情况/Family   information and family members

家人经济担保证明   The Family’s   Statement of Financial Support

I hereby promise that I and my family have fully   understood the prospective cost for and have the capacity to support the applicant   to finish his/her educational program in the University of South China and   will pay all fees timely and adequately.

Name ( in printed style)   :        

Relationship with the applicant:

Signature   :                           Date :

申请人声明 The Applicant’s Statement

申请人保证 I hereby affirm that:

1. 上述各项中所提供的情况真实无误。

All the information I provided above is true and   correct.

2.在华学习期间遵守中国的法律和学校的规章制度。

I shall abide by   the laws of China Government and regulations of the University of South   China.

3.按时交纳学校规定的各种费用。

I will pay all the expenses prescribed by the   university on time.

申请人签名：                            日期：       年       月         日

Signature:                                  Date:        year       month    day

申请人在递交本表的同时递交：Applicant should submit the following documents along with the   applicant form:

1、 经过公证的最高学历证明和成绩单

Transcript of   the highest education (Notarized photocopy); Diploma of the highest education   (Notarized photocopy)

2、 两名教授或副教授的推荐信（研究生）

Two reference   letters from professors or associate professors ( For the post-graduate or   doctorate candidates)

3、 护照复印件

Photocopy of   the passport

4、 六个月内的体检证明

Physical Examination   Form within 6 months (Photocopy).

5、 经过公证的无犯罪证明

Notarized   Certificate of Non-criminal Record (Photocopy).

白底两寸的电子照片

One two-inch   electronic photo with white background (Passport Photo Size)