Please return to: Department of International Cooperation and Exchange Huazhong Agricultural University Wuhan 430070, Hubei, P.R.China Tel: 86-27-87282026, 87281181 Fax: 86-27-87396057 Email: studyinhau@gmail.com, fao@mail.hzau.edu.cn HUAZHONG AGRICULTURAL UNIVERSITY APPLICATION FORM FOR ADMISSION OF INTERNATIONAL STUDENTS Before completing this form, please read the guide on the 3rd page. The form is to be filled in Chinese or English. Please write legibly if you fill by hand. Application deadline: May 30 Personal Details Family Name Photo Given Names Citizenship Passport Number Date of Birth Day Month Year Place of Birth Title (Mr, Mrs, Ms, other) Sex Religion Marital Status Employer / Institute Occupation Affiliated Contacts Postal Address Email Telephone Number Fax Permanent Address Previous Education Institute / School of Graduation Certificate / Degree Obtained Graduation Time Contacts of Registrar -1- □ Male □ Female □ Single □ Married □ Other Language Proficiency Excellent Good □ □ □ Chinese English Other, Please Specify: Sufficient □ □ □ □ □ □ Poor □ □ □ None □ □ □ Proposed Study □ Bachelor’s Degree Candidate □ Master’s Degree Candidate □ Doctor’s Degree Candidate □ Advanced Student □ Short-Term Program Student □ Visiting Scholar □ Chinese Language Student □ Other, please specify: Subject / Field Duration From Day □ Chinese Medium of Instruction Month □ English Year to Whether undertake the elementary Chinese language study Duration: From Day Month Year to Day Day Month □ Yes Month Year □ No Year Financial Resources □ Full Scholarship by □ Partial Scholarship by □ Tuition □ Accommodation □ Medical Care □ Learning Materials □ Others, Please Specify □ Self-Paying □ Others, Please Specify Materials Attached □ □ □ □ □ □ □ □ □ Detailed curriculum vitae Copy of diploma of the most advanced studies Transcripts (for degree program application only) of high school graduation for undergraduate application of college education and above for the others Study proposal no less than 200 words for undergraduate application no less than 400 words for visiting scholar application no less than 500 words for graduate application not applicable for short-term program and Chinese language program application Two recommendation letters by professors/associate professors of correlated disciplines for graduate and visiting scholar application Reference letter from the employer / institute affiliated Physical examination record Copy of passport Other Attachments, please specify (If you have taken a Chinese / English language proficiency examination, please attach relevant documents): -2- Declaration 1. I declare that, to the best of my knowledge, all information on this form and materials attached are complete and accurate. 2. I understand that the University reserves the right to vary any decision made on the basis of incorrect or incomplete information supplied by me. 3. I will abide by the laws and decrees of P. R. China and rules and regulations of the University during my stay in China if my application is approved. Signature Date Guides 1. Deadline mentioned above is for application of general programs only. 2. Please refer to the handbook of A Guide for International Students for options of subject / field of proposed study. 3. The elementary Chinese language study of one academic year is compulsory for study in the medium of Chinese if the Chinese language proficiency of the applicant does not meet the program requirement. 4. Documents listed in the column of Materials Attached are necessary for the application. 5. Materials attached which are copies should be certified. If materials are in a language other than Chinese / English please attach certified translations. 6. Study proposal the applicant submitted is an important document for admission. But courses and research work of any student are based on curriculum of the program instead of study proposal. 7. Please do the physical examination with the form for Physical Examination Record from the University. 8. Applications without signature will not be considered. 9. Please do not hesitate to contact us if you have any question about the application. Additional Information (Optional) How did you know about Huazhong Agricultural University □ □ □ □ □ □ □ Chinese Embassy / Government Exhibition Institute / Organization, please specify Friends / Relatives Internet, please specify the website Agent, please specify Other, please specify -3-