上海杉达学院 国际学生入学申请表 Application Form for International Students.docx

上，为土？的SANDAUNIVERSITY国际学生入学申请表App1.icationFormforInternationa1.Students护照姓名：ft/k'amiIyNameNameinPassport:jGivenNaBeS中文名/ChineseName性别/Gender:男/Ma1.e«女/Fetnn1.ofS三tia1.ity:照片Phuto护照号码/Passpor1.No.:护照有效期3S用Or1.va1.iduti1.:出生H期：年月H1.teofBirth:y.m.d.出生地点：城市/Ci1.y国家/CounioP1.aceOfBiriIr宗教信仰/Ife1.igion:母语/First1.anguage:婚姻状况AkIriSIStatus:职业/Occupation:工作或学习单位/P1.aceof1.orkorStudy:后学历川igh。StAcademicQegreeObtained:1.¾fi±hi1ingWdress(Street.City,Country,Postcode,IkwTeD:海外住址/Pinmncn1.Address(StreetCity,Countr>,RaSIO(XkS1.kxTe1.):联系电话/PhoneNo.inHomeCountry:!Enni1:经费来源SourceofFunding.自费Se1.fsupporting担保人姓名/Guarantor'sname:与申请人关系强IHtig3ipwithIheapp1.icant:地址和电话/Address4PhoneNo.:。校际交换ExchangeProgran学校名称心iversity:联系人/ContactPerson:工作部门/Dopar1.eeni:地址和电话/Add11?SSiPhoneNo.:。海外奖学金OverseasScho1.arship奖学会名Scho1.arship:提供奖学金单位/ProYidedby:地址和电话/Address8PhoneNo.:其他/OiherS学习羟历(从高中起填写Educationa1.Background(From1.1.ighSchoo1.)学校名称Institutiai在校时间DUrntion(fnomzto)主修专业Major所获文凭Dip1.omaZDogree浴官能力1.anguageProficiency汉语/Chinese母语/Naiivc9流利/T1.ucnt高级/Advanced。良好/Convcrsatiaia1.。一般/Basic不会/Kone谙考试'Test(三)taken:HSK:1.eve1.Others:英语/B1g1.i6母语/Naiivc9流利/T1.ucnt高级/Advanced。良fCmcrsati<x½1.。一般/Basic不会/卜OnR语言考试1s1.(三)1.akcn:TOEF1.GMATGREIE1.TSOthers:其他/OtherS学习计划StudyP1.an申请类别/项目TyPeOfAPPHearion/Program交换学习/Exchange9语吉学习/Chinese1.anguage。本科学习/Undergradua1.c专业/Major.插班学习/Transfer专业/Major计划学习期限Duiutiaiofst自年月至年月Fromy.电toy.ii1.学习目的Objective完成目标课程后打算Pkinafterst,inChina姓名/Name:紧急联络人与本人关/Re1.ationship:EmergenceContact联系电话，PhOneNo.:电子邮箱，Ejna止申请人保iEIherebyaffi1111that:I.上述各项中所填写的内容和提供的材料ft实无误/AHinformationandmateria1.spn>videdhereare(rueandco11ecu2 .在华期间，遵守中国的法律和法规，不从事任何危害中国社会秩序.与本人来华学习身份不相符合的活动/DuringmystayinChina,1sha1.1.abidebythe1.awsanddecreesoftheChinesegovernment,andwi1.1.notparticipateinanyactivitieswhicharcdeemedtobeadversetothesocia1.orderinChinaandarcinappropriatetoIhccapacityasastudent;3 .在学期间,遵守学校的校纪校规.尊重学校的教学安排，DuringmystudyinChina.Isha1.1.obscnctheru1.esandregu1.ationsoftheuniversity,andwi1.1.concentrateonmystudiesandresearches,andwi1.1.fo1.1.owtheteachingprogramsprovidedhytheuniversity.申请人签字/App1.icant'sSignature:I1.期/Date:请申请人用中文或英文印刷体认真填写以下谐项，字迹要清楚不能缺项填写，没育的请写“无巧P1.ease111.1.A1.1.1.heB1.,NKSforminChineseorEng1.ishc1.ear1.y,putNifnotapp1.icab1.e.Add:IntemationdStudentsOffice.SandaUniversity2727JinhaiRoad.Pudong.Shanghai.China201209Te1.:+86-21-20262688Enaikiso(