APPLICATION FORM FOR INTERNATIONAL STUDENTS 1.申请者/Applicant 姓名 Name 英文姓名 In English (Same as in your Passport) 姓/Family name 名/Given name picture 性别: Sex 国籍: Nationality 护照号码/Passport No.: 有效期至/Valid Until _________年/ Yr ______月/ Mon _______日/ Day 出生日期_______年____月_____日 Date of Birth Yr. Mon. 最后学历: Education level 婚姻状况: Marital Status 出生地 国 家: 城市: Place of Birth Country Date 宗教信仰: Religion City 母语: Native language 目前所在学校或机构: Place of study or work 职业: Occupation 电话/Tel: 传真/Fax: Email: 家庭住址 Home Address: 汉语水平: Level of Chinese 学习类别: Study Type 语言进修生/Chinese Language Students 本科生/Bachelor 来华学习专业 Major of Study in China 经费来源 Funds 学习时间: Duration of study 奖学金/Scholarship 2.申请人亲属情况/Family Members 姓名/Name 年龄/Age 父亲/Father 母亲/Mother _____年/year 到/to _____年/year 自费生/Self-Supporting 职业/ Occupation 联系电话/Tel 配偶/Spouse 3.紧急事务联络人/Guarantor Charging Your Case in Emergency 姓名/Name 与本人关系/Relationship Email 联系电话/Telephone 1 硕士生/Master 月/Month 月/Month 交流生/Exchange Email 4.在华事务担保人或机构/ The Guarantor Charging Your Case in China 姓名/Name: 与本人关系/Relationship 国 籍/Nationality 联系电话/Telephone 工作机构/Organization: 联系地址/Address: 5.申请人保证/I hereby affirm that (1)上述各项中所提供的情况是真实无误的/All the information I provided above is true and correct; (2)I shall abide by the laws of the Chinese Government and the regulations of CHINA (3)I will accept the arrangements of study settled by University and pay all the fees in time. 日期/Date 申请人签字/Applicant’s signature__ ____ 6.申请人在递送本申请表的同时,请提交/Please send with this form 护照复印件/One photocopy of your passport; 最后学历证明/An official certificate of your highest education (or notarized photocopy); 学习成绩单/An official transcripts (or notarized photocopy); 推荐信/A letter of recommendation from applicants’ high school (original); 资助人工作和收入证明 Original copy of employment certificate and income certificate of the financial sponsor; 经济担保书 Statement of Financial Support for International Students; 自 我 介 绍 A self-introduction video clip including self–introduction and a description of your hobby, extra-curricular activities, view of China and study plan in China in Chinese or English; 其他材料 Other supporting documents including merit certificates and internships certificates may be submitted as well. Applicants with such certificates will be given preference. 无论申请人是否被录取,上述申请材料恕不退还 Whether the candidate is accepted or not, all the application material will not be returned Notice: Please fill this form in capital letter. Email: study@peconsu.com 2