1、宁夏医科大学外国留学生入学申请表APPLICATION FORM FOR FOREIGNERS TO STUDY IN NINGXIA MEDICAL UNIVERSITY宁夏医科大学对外合作交流处 Foreign Affairs Office, Ningxia Medical University, Yinchuan，750004, P. R. China 电话/Tel: 86-951-6980038 传真/Fax: 86-951-6980036 电邮/E-mail: 网址/Website: 1. 申请人情况/Personal information 护照名/Passport name 姓
2、/Family name_ 名/Given name _ 国籍/Nationality _ 护照号码/Passport No. _ 性别/Gender _出生日期/Date of birth _/_/_( 年/ 月/日 y/m/d) 婚否/Marital status _出生地点/Place of birth _ 宗教信仰/Religion _ 母语/Native language _最后学历/Education level_ 电话/Tel_ 电子邮件/E-mail _家庭住址/通讯地址/Permanent home address/Address for correspondence _2.
3、 申请项目/Application 学习类别/Program 本科/Bachelor 硕士/Master 博士 /PhD 进修/Training 其他/Other_申请专业/Field of study _学习时间/ Duration of the study 自/From_/_(年/月 y/m) 至/to _/_(年/ 月 y/m)3. 学习经历(从初中开始) /Education background (Starting from middle school)学校/Institution 时间/Years attended (from/to) 主修专业/Fields of study 所获
4、证书/Certificates obtained/to obtain _ _ _ _ _ _ _ _ _ _ _ _ _特长爱好/Special skills or interest _获奖情况/Awards received _曾发表的论文、著作/Academic papers and writings published _ 本人最高学历毕业成绩/Courses and grades during high school graduation exam课程/Course成绩/Grade照片Photo4. 语言能力/Language proficiency (Excellent, Good,
5、 or Fair)英语/English ( ) Excellent ( ) Good （ ）Fair5. 亲属情况/Family members 姓名/Name 年龄/Age 职业/Occupation 电话/ 电子邮件/Tel/E-mail 父亲/Father _ _ _ _母亲/Mother _ _ _ _配偶/Spouse _ _ _ _ _ _ _ _6. 经济保证人情况/Financial sponsor姓名/Name _地址及电话号码/Address & Tel 与申请人关系/Relationship with the applicant _ 保证人签名/Sponsors sign
6、ature _ 经费支持/Financial Support 7. 在华事务联系人或机构/Person for agency to act on your behalf in China _8. 派遣方或推荐人意见/Comments of Sponsor or Recommending part 签名/Signature 日期/Date 申请人保证/I hereby affirm:1. 上述情况真实无误。I have reviewed the above information, and it is true and complete to the best of my knowledge.2. 在中国学习期间遵守中国政府的法律和学校的规章制度。 I shall abide by the laws of the Chinese government and the regulations of Ningxia Medical University.申请人签字/Applicants signature 日期/Date 以下各栏由学校填写/For official use申请收到日期： 年 月 日 办理日期： 年 月 日办理人： 批准人： 备注：
