APPLICATION FORM FOR FOREIGNERS TO STUDY AT QILU UNIVERSITY OF TECHNOLOGY (SHANDONG ACADEMY OF SCIENCES)

发布时间:2019-05-30浏览次数:10


                     齐鲁工业大学(山东省科学院)来华留学生申请表

 APPLICATION FORM FOR FOREIGNERS TO STUDY AT QILU UNIVERSITY OF TECHNOLOGY (SHANDONG ACADEMY OF SCIENCES)

请用中文或英文清晰、完整地填写/Please complete the blank in Chinese or English clearly. 


护照姓/ PassportSurname


护照名/ Passport Given Name


 照片

Passport Photo

中文姓名

Chinese Name


国籍

Nationality


性别

Sex

□男/Male      □女/Female

出生日期

Date of Birth

      年YYYY.    月MM.    日DD.

婚姻状况

Marital Status

□已婚/ Married□未婚/ Single

护照信息

Passport

号码/ Passport No:

有效期/ Valid Until:       年YYYY.    月MM.    日DD.

出生地

Place of Birth


宗教信仰

Religion


 健康状况

Health Condition


在华紧急事务联络人

Emergency Contact Person in China

姓名/ Name:


电话/ Tel:

最后学历

Highest Academic Degree Obtained

□高中/ High School     

□本科/ Bachelor

□硕士/ Master   

□其他/ Others          

现工作或学习单位

Current Employer/ School (university)


职业

Position


语言能力

Language Proficiency


汉语/Chinese:□HSK证书/HSK Certificate, Level           (If applicable)  □很好/Excellent□一般/Fair□不会/ None

英语/English:□很好/Excellent□一般/Fair □不会/ None□可以用英语学习/could be taught in English

母语/Mother tongue:                 其他语言/Other languages:                 


请根据您的学习计划在①和②中选择其一填写 

/ Please choose between ① and ②, and fill out one of them according to your study plan.

①汉语学习Chinese Language Programme

   学习时间 Study Period: 从/From       年YYYY.       月MM.到/to       年YYYY.       月MM.

②学历学习

Degree Programme

□本科/Bachelor  □硕士/Master□ 博士生/Doctor  

 学习时间 Study Period: 从/From       年YYYY.       月MM.到/to       年YYYY.       月MM.

 申请专业/Major applied                            

是否补习汉语?Do you intend to take Chinese language courses before the major study: □是/Yes□否/No

受教育情况

Education Background

学校/School/University在校时间/Time(from/to)    专业/Major证书/Diploma or Certificate




工作经历

Employment Record

(if applicable)

工作单位/Employer               起止时间/ Year(from/to)             职务/Position  





现联系方式

Current Contact Information

地址/ Add:                                                                邮编/ Postcode:



电话/ Tel:             邮箱/ E-mail:                          传真/ Fax:           


 申请人亲属情况

 Family Members of the Applicant

                      姓   名                  职业                   联系电话

                       Name                 Employment            Contact Phone Number

 配偶/Spouse:  


 父亲/Father:  


 母亲/Mother:  



 我保证/I hereby affirm that:

 1. 上述各项中所提供的情况真实无误/All the information provided above is true and correct;

 2. 在华期间,遵守中国的法律法规,不从事与本人来华留学身份不相符合的活动/ During my stay in China, I shall abide by the laws and decrees of Chinese government, and will not 

 participate in any activities inappropriate to the capacity as a student; 

 3. 在学期间,遵守齐鲁工业大学(山东省科学院)的规章制度,尊重学校(院)的教学安排/ During my study at QLUT(SDAS), I shall observe the rules and regulations of the university, and will follow 

 the teaching arrangement made by the university; 

 4. 因提供信息错误、不清晰或不完整而造成的任何后果由我本人承担。/I will take all the responsibilities for any result caused by wrong, incomplete or unclear information in this form.


 申请人签名/Signature:申请日期/Date:          年YYYY.    月MM.    日DD.


 申请说明/Note:

 1. 请与本表同时提交:最后学历和学位证书、成绩单,HSK证书(如有),护照复印件,交付申请费。The application form is required to submit with:the highest diploma or certificate, transcripts, HSK certificate(If applicable),photocopy of passport, and the application fee.

 2. 申请材料和报名费概不退还。The application fee is nonrefundable, and the application documents will not be returned.

 3. 申请费 Application Fee. 500CNY


 齐鲁工业大学(山东省科学院)国际合作处/ International Office, Qilu University of Technology(Shandong Academy of Sciences)

 地址/Add:中国山东省济南市长清区大学路3501号 250353/ No. 3501Daxue Road, Changqing, Jinan, Shandong, 250353 P. R. China

 电话/Tel: 0086-531-89631559传真/Fax: 0086-531-89631016

 网址/Website:www.qlu.edu.cn       邮箱/Email:international@qlu.edu.cn, guojichu@hotmail.com