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佛山科學(xué)技術(shù)學(xué)院留學(xué)生入學(xué)申請(qǐng)表(Application Form for Foreigners Applying for Study at FOSU)

時(shí)間：2020/08/30

Application Form for
Foreigners Applying for Study at FOSU

申請(qǐng)編號(hào)Application
number ：

護(hù)照用名

姓/Family Name

照片

photo

名/Given Name

國(guó)籍/Nationality

護(hù)照號(hào)碼

Passport
No.

出生日期

Date of Birth

年       月     日

Year     Month    Day

出生地點(diǎn)

Place of Birth

性別

Sex

宗教

Religion

婚姻狀況

Marital Status

□ 單身/ Single              □ 已婚/ Married               □ 離異/ Divorced

國(guó)籍國(guó)通訊地址

Home Country Address

國(guó)家/Country                     城市/City                       電話/Tel:

地址/Address

目前郵寄地址

Mailing Address

國(guó)家/Country                     城市/City                       電話/Tel:                        地址/Address

電話/傳真/電子郵箱

Tel./Fax/Email Address

電話/Tel:                              傳真/Fax:_________________________

電子郵箱/E-mail:                                        (請(qǐng)準(zhǔn)確填寫郵箱地址,，電子版通知書會(huì)通過郵箱發(fā)送給你/Be sure to provide available
Email address, Electronic Admission Letter will be sent to you via Email)

教育情況

Educational Background

學(xué)校              在校時(shí)間              所獲證書,、學(xué)位          主修專業(yè)

    Institution       Years attended (from/to)        Diploma
received       Fields of study

_____________    __________________      __________________      _______________

_____________    __________________      __________________      _______________

_____________    __________________      __________________      _______________

工作單位

Employer

職業(yè)

Occupation

經(jīng)濟(jì)來源

Source of
Funding

獎(jiǎng)學(xué)金/Scholarship □   自費(fèi)/Self-Supporting □   其他/Other □

在華事務(wù)擔(dān)保人及電話

Guarantor in China & Tel

名稱/Name:_________________________ 電話/Tel: _________________________

推薦單位及電話

Reference &Tel.

名稱/Name:_________________________ 電話/Tel: _________________________

語言能力

（“優(yōu)良,、中,、差”）

Language
Proficiency

(“Good”,
“Fair” or “Poor”)

漢語 Chinese                     ; HSK               級(jí); Learning Hours 學(xué)時(shí)

英語 English            ;    TOEFL(score)         ;   IELTS(score)

其他 Others
______________

來華學(xué)習(xí)計(jì)劃

Proposed Study at SCUT

□漢語進(jìn)修生/Chinese
Language Student □國(guó)際預(yù)科/International
Foundation □交換生/Exchange
Student

□本科生/Undergraduate
Candidate（授課語言/Language of construction □英語/English □中文/Chinese）

□碩士研究生/Master’s Degree
Candidate □博士研究生/Doctor’s Degree Candidate

申請(qǐng)專業(yè)

Major You Are Applying For



研究方向

Research Area

(For Postgraduate Candidate)

申請(qǐng)專業(yè)學(xué)習(xí)時(shí)間Duration of Study

自/From：________月/Month___________ 年/Year 至/To：_________月/Month__________ 年/Year

是否需要漢語補(bǔ)習(xí)

Do You Need Chinese Study Prior to the
Specialized Study?

□   是/Yes 自/From：________月/Month_________年/Year 至/to： ______月/Month_________年/Year

(漢語補(bǔ)習(xí)不計(jì)在專業(yè)學(xué)習(xí)時(shí)間內(nèi)/Chinese study is not included in the
length of the specialized study)

□ 否/No

請(qǐng)研究生和高級(jí)進(jìn)修生用中文或英語填寫研究專業(yè)的補(bǔ)充說明（請(qǐng)附另頁）：

Any Other Information
You Consider Relevant to This Plan (Postgraduate and senior advanced students
are requested to write in Chinese or English. Use an attached page.)

住宿

Accommodation

所有國(guó)際學(xué)生在準(zhǔn)時(shí)來校報(bào)到注冊(cè)期間將被安排入住單人房（數(shù)量很少）,，雙人房及四人房,。不按時(shí)報(bào)到的新生需自行解決宿舍問題,。

All
international students who register on time will be arranged to live in a
single (limited amount), double, or four-bed room, we will NOT guarantee accommodation
for those who register behind schedule.

您是通過什么渠道獲得我校的信息/ How did you
get information about SCUT? □中介/Agency
:________________

□教育展/Education
Fair □華工學(xué)生/SCUT student（姓名/name
_____________________） □親戚或朋友/Relative or friend

□網(wǎng)絡(luò)/Internet (□ Search
engine:_______________ □ Other website:
____________________) □其他 Others
_________

所附材料（請(qǐng)?jiān)谒讲牧锨皠潯啊獭睒?biāo)明）/Materials Attached (Please Indicate with “√” in the Bracket.)

□   護(hù)照復(fù)印件/ One Copy of the Applicant’s Passport.

□   本人最后學(xué)歷成績(jī)單復(fù)印件（須公正）/Most up-to-date
transcript (Notarized).

□   本人最后學(xué)歷證書復(fù)印件（須公正）/ Diploma from
most recently graduated institution (Notarized).

□   外國(guó)人體體格檢查記錄（復(fù)印件）/ Foreigner
Physical Examination Form (Photocopy).

□   來佛山科學(xué)技術(shù)學(xué)院學(xué)習(xí)計(jì)劃/ Study Plan while
at FOSU.

□   所發(fā)表文章等/ Articles or
Papers Written or Published.

□   美術(shù)作品（本人作品彩照六張）（只限申請(qǐng)美術(shù)專業(yè)的申請(qǐng)人）

Examples of Art (6 color pictures) (Only for the
applicants applying for Fine Arts )

□   其他附件（請(qǐng)列出）/Other Attachments (List Needed)：_________________________________________

申請(qǐng)人保證：

1．   上述各項(xiàng)中所提供的情況是真實(shí)無誤的,；

2．   在中國(guó)學(xué)習(xí)期間遵守中國(guó)政府的法律和學(xué)校的規(guī)章制度,，尊重學(xué)校的教學(xué)安排,。

3．   按規(guī)定期限修完學(xué)業(yè)，按期回國(guó),，不無故在華滯留,。

I hereby affirm that:

1. All the information in this form is true and correct;

2. I shall abide by the laws of the Chinese Government and the
regulations of the School, and will concentrate on my studies and

research, and will follow the
teaching programs made by the university..

3. I shall return to my home country as soon as I complete my scheduled
program in China, and will not extend my stay without

valid reasons.

日期：     年       月     日               申請(qǐng)人簽名：:______________________

Date:      Y       M     D                 Applicant’s Signature

(無此簽名，申請(qǐng)無效/Only with signature should the application be
valid)

附件：佛山科學(xué)技術(shù)學(xué)院留學(xué)生入學(xué)申請(qǐng)表(Application Form for Foreigners Applying for Study at FOSU)