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1、申请号(办公室填写)ApplicationNo.(Wefill)山东农业大学留学申请表APPLICATIONFORMFORSTUDYATSHANDONGAGRICULTURALUNIVERSITY姓名Name英文InEnglishFirstName/MiddleName/FamilyName照片Photo2寸2Inch中文:性别:男女InChineseGenderMaleFemale国籍:出生日期:年_月_日出生地点:NationalityDateofBirthyy/mm/ddPlaceofBirth护照号码:颁发国家:有效期:一年_月_日PassportNo.CountryofIssueVa
2、lidTillyy/mm/dd居留许可/签证号码:颁发日期:年_月_日有效期:年_月_日No.ofResidencePermitVisaDateofIssueyy/mm/ddValidTillyy/mm/dd职业/身份:宗教信仰:婚姻状况:Occupation/StatusReligionMaritalStatus所在工作单位或学校:CurrentEmployerorInstitutionAffiliated永久家庭地址:PermanentHomeAddress家庭电话:PermanentHomePhone通讯地址:AddressforCorrespondence联系电话:传真:手机:Phon
3、eforContactFaxMobilePhone电子邮件E-mail:计划在山东农业大学学习时间PlannedDurationofStudyatShandongAgriculturalUniversity:自年一月一日至年一月一日Fromyyyy/mm/ddtoyyyy/mm/dd学习类别StudentStatus:语言生口普通进修生口高级进修生口研究学者1.anguageStudentGeneralScholarSeniorScholarResearchScholar博士研究生口硕士研究生口本科生口预科生DoctoralStudentMastersStudentUndergraduateS
4、tudentPreparatoryStudent希望在山东农业大学学习的专业或专题(请按志愿排序):是否服从分配?口是YeS否N。ProgramyouwanttoattendatShandongAgriculturalUniversityDoyouagreetofollowouradvise(Youcanlisttwochoicesaccordingtoyourpreference)1.2.在华学习期间经费来源SourceofFunding: 自费口校际交流项目(请具体说明)Self-SupportUniversityExchangeProgram(PleaseSpecify) 奖学金(请具体
5、说明)SCholarShiP(PIeaSeSPeCify)在华事务联系人/机构PersonZAgencytoActonyourBehalfinChina:姓名/名称Name地址Address电话Phone传真Fax手机MobiIe本人学历(从高中起)EducationBackground(FromHighSchool)学校名称起止时间所学专业所获学位NameofSchoolFromZTbMajorZFieIdofStudyDegree本人工作经历WorkingExperience:工作单位起止时间从事工作职务/职称EmployerFromfFbResponsibilityPositionZTi
6、tIe申请人亲属情况FamilyMembers:配偶Spouse姓名Name年龄Age职业Occupation父亲Father母亲Mother子/女SonZDaughter子/女SorVDaughler本人特长与爱好SkillsandHobbies:你是否参加过汉语水平考试?HaveyouevertakentheHSKtest?是Yes否N。如果是,请按以下格式列出考试信息,并在申请表后附上HSK证书及成绩单。Ifyes,pleaselistinformationbelow,andattachtheHSKGrade&ScorestothisApplicationForm.考试时间Date总分T
7、otalScores级别Grade听力Listeningi11Grammar阅读Readingtz11Comprehensive如果否,请回答下列问题Ifno,pleaseanswerthefollowingquestions:1 .你学习过汉语吗?HaveyoustudiedChinese?是Yes否N。2 .你学习汉语多久了?HowlonghaveyoustudiedChinese?口1年以下1-2年2-3年口3年以上(请说明:年,从年_月到年_月)lessthan1year1-2years2-3yearsmorethan3yearsyears,fromyy/mmtoyy/mm3 .你学习
8、汉语的方式?HowdidyoustudyChinese?口在中文学校学习口在大学学习口自学口在中国学习(学校名称:)ChineseSchoolUniversityCourseSelf-StudyInChinaNameofUniversity4.你现在的汉语水平如何?HowdoyouthinkofyourChineseability?听口很好口还行懂一点口不行说口很好口还行懂一点口不行ListenGoodNotBadALittleAwfulSpeakGoodNotBadALi11leAwful读很好口还行懂一点不行写口很好口还行口懂一点不行ReadGoodNotBadALittleAwfulWr
9、iteGoodNotBadALittleAwful请注意:下列材料是本申请表的必要附件!PleasenotethatthefollowingdocumentsareCoMPULSORYattachmentstothisApplicationForm.1 .最后学历证明书FinialACaderniCDiPIOma2 .学习成绩单TranSCriPtofFinialAcademicRecord3 .个人简历CV(Resume)4 .一封推荐信ALetterofRecommendation5 .护照复印件AScannedCopyofPassport6 .护照规格照片8张8piecesofPassp
10、ort-SizePhotos(senddigitalphotosfirst)7 .担保书AletterofGuaranteeStatement8 .无犯罪证明NoCriminalRecord(within6months)9 .体检表PhysicalExaminationForm(downloadfromthewebsiteofEmbassyofthepeoplesRepublicofChina)特别提醒:申请表填写错漏或必要附件缺失都将影响申请的审批进度!Attention:Incorrectorinmpletesubmissionofinformationorattachmentwillde
11、laytheprocessofyourapplication!申请人保证:Iherebyaffirmthat1 .上述各项中所提供的信息真实无误;AlltheinformationfilledinthisApplicationFormistrueandcorrect.2 .在中国学习期间遵守中国的法律和学校的规章制度;IshallabidebytheChineselawandUniversityregulations.3 .接受山东农业大学的管理。IshallsubmittothesupervisionofShandongAgriculturalUniversity.申请人签字:Signature of Applicant递交日期:DateofSubmission(yyyy/mm/dd)请将完整填写的申请表和附件寄往(电子版):PleasesendthedigitalcompletedApplicationFormwithrequiredattachmentstothefollowingaddress:Email: