Personal Information.doc

:..EMBAPre-AdmissionFormPleasefilloutthispre-,:_____________________EnglishName:___________________________________GenderM□F□DateofBirth:________________Nationality:_______________________WorkTelephone:____________Mobile:________________E-mail:_______________________Highestdegree□□Master□Bachelor□OtherMajor:_______________________University_________________________________________GraduationYear:________________CAREERCareerExperience:WorkExperience:_____yearsManagementExperience:_____yearsCurrentposition:panyName(English)_____________________________________(Chinese)_________________________Address:____________________________________________________________________________________TotalAnnualSales_______________________ pany: PubliclyListed?Government□StateownedBusiness□JointVenture□Yes□Private□Foreign□No□Industry:Manufacturing□Consulting□HealthandBiotechnology□Trading□Government□RealEstate□HotelorTravel□Insurance□Media□Other(specify):___________