中国国家汉语国际推广领导小组办公室-驻大阪总领馆.doc

中国驻大阪总领事馆教育室地址:〒564-0063大阪府吹田市江坂町5-4-4电话(Tel):06-6821-2301;传真(Fax):06-6821-2303电邮(Email):******@“汉语桥”mendationFormforthe10th“ChineseBridge”-petitionforForeignCollegeStudents照片Photo中文姓名/Name(inChinese,ifapplicable):姓名/Name:护照用名(英文)/PassportName(inEnglish):姓/FamilyName:名/GivenName:以下内容请用中文填写(带*号项除外)/PleaseFillintheBlanksinChineseexceptwith*:出生日期/DateofBirth:年/Year月/Month日/Day出生地点/PlaceofBirth:国家/Country:城市/City:国籍/Nationality:护照号码/PassportNo.:护照有效期/Expireddateofpassport:男/Male:□女/Female:□已婚/Married:□未婚/Single:□宗教信仰/Religion:是否有特殊饮食要求/Anyspecialfoodrequirements?第一语言/FirstLanguage:第二语言/SecondLanguage:家庭成员华文背景/ChineseBackgroundofFamilyMembers:电话/Tel:传真/Fax:电子邮件/E-mail:*永久通信地址(请用英文填写)/MailingAddress(inEnglish):受教育情况/EducationBackground:学校在校时间主修专业毕业证书及学位证书InstitutionsYearsAttendedFieldsofStudyCertificatesObtainedortoObtain学****汉语的时间/PeriodofChineselearning:自拟演讲题目/Topicofpreparedspeech:准备表演的