安徽师范大学短期留学申请表.doc

安徽师范大学
ANHUI NORMAL UNIVERSITY
短期留学申请表
APPLICATION FORM FOR SHORT-TERM COURSE IN CHINA
注:请申请人用英文或中文印刷体填写,填写时请用钢笔或签字笔。
Notes: This form is to pleted in block letter with pen by the applicants in Chinese or English.
姓名/ Name:
姓/ Family Name 名/Given Names
中文姓名/ Chinese Name:
性别/ Sex
M□ F□
照片
Picture
Passport Size
国籍/Nationality
护照号码/ Passport No.
出生日期/ Date of Birth
年/Yr. 月/Mon. 日/Day
宗教/Religion
出生地点/Place of Birth
婚姻状况/Marital Status:
已婚Married□未婚Single□
最后学历/Previous Education
永久通讯地址及电话/Permanent or Present Address & Telephone Number or E-mail Address
现工作单位或学****单位/Current Employer or School
现有汉语水平/Present Level of Chinese:
很好/Excellent □好/Good □
一般/ Fair □不会/Beginning □
学****期限: 自200 年月日至 200 年月日
Duration: From 200 Yr. Mon. Day To 200 Yr. Mon. Day
2周□ 3周□ 4周□ 5周□ 6周及6周以上□
Two Weeks Three Weeks Four Weeks Five Weeks Six Weeks or More
选修课程/ Elective Courses
书法Calligraphy □绘画Painting □武术wushu □二胡erhu □
学校组织的旅游/ Attend anized by ANU 参加/Yes □不参加/No □
anization or Person Who mends You for the Study
本人简历
Resume
在华事务联系人或机