1、沈阳工业大学国际交流中心外国留学生入学申请表International Students Application Form for AdmissionInternational Exchange Center of Shenyang University of Technology中文名 Chinese Name： 护照用名Passport Name 英文姓 英文名Family Name Given Names 国 籍Nationality性 别Gender男 女 Male Female出生日期Date of Birth年/ 月/ 日Year/ Month/ Day出 生 地Place of
2、BirthPhoto护照号码Passport No. E-mail:婚姻情况Marital Status 已婚 Married 未婚 Single 其它 Other 申请人在华联系方式Contact information in China地址 Address:手机 cell phone:申请人所在国联系方式Permanent Address地址 Address:电话 Telephone:学生类别Types汉语进修生 Chinese Language本 科 生 Bachelors Degree硕士研究生 Masters Degree 博士研究生 Doctors Degree 宗教Religio
3、n无 No religion 佛教 Buddhism 基督教 Christian 伊斯兰教 I slam 其他 Others: 学习专业 Subject of Study in China : 申请学习时间/Duration of the Major Study:自/From：年/Year_月/Month _ 至/To： 年/Year_月/Month _语言能力/Language Proficiency:a)汉语/Chinese: 很好/Excellent 好/Good 较好/Fair 差/Poor 不会/None HSK 考试等级或其他类型汉语考试成绩/ Level of HSK test
4、or other certificates which can show your Chinese level: _b)英语/English: 很好/Excellent 好/Good 较好/Fair 差/Poor 不会/None c)其他语言/Other Languages:_受教育情况/Education Background:学 校 Institutions在 校 时 间Years Attended From / to毕业证书及学位证书Certificates Obtained or To Obtain/申请人是否曾在华学习或任职/Have you ever Studied or Work
5、ed in China?是/Yes: 学习或任职单位/Institution or Employer: _在华时间/Time in China: 自/From:年/Year_月/Month_至/To:年/Year_月/Month _否/No: 申请人在华事务联系人或机构/The Guarantor Charging Your Case in China姓 名Name与本人关系Relationship国 籍Nationality联系电话Tel. No.申请人亲属情况/Family Members of the Applicant:姓名 Name 年龄 Age 职业 Employment配偶 Sp
6、ouse母亲 Mother父亲 Father申请人保证/I Hereby Affirm That:1 申请表中所填写的内容和提供的材料真实无误；All information and materials given in this form are true and correct.2 在华期间，遵守中国的法律、法规，不从事任何危害中国社会秩序的、与本人来华学习身份不符合的活动；During my stay in China, I shall abide by the laws and decrees of the Chinese government, and will not partic
7、ipate in any activities in China that are deemed to be adverse to the social order of China and are inappropriate to the capacity as a student.3 在学期间，遵守学校的校纪、校规，全力投入学习和研究工作。尊重学校的教学安排；During my study in China, I shall abide the rules and regulations of the host university, and concentrate on my studi
8、es and researches, and follow the teaching programs arranged by the university.4 按规定期限修完学业，按期回国，无故在华滞留；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.5 如违反上述保证而受到中国法律、法规或校纪、校规的惩处，我愿意接受沈阳工业大学相应的处罚。If I am judged
9、 by the Chinese laws, decrees, the rules or regulations of the university as having violated any of the above, I will not lodge any appeal against the decision of Shenyang University of Technology on relevant discipline penalties.申请人签字Signature of the Applicant:日期Date沈阳工业大学国际交流中心 International Exchange Center of Shenyang University of Technology 地址：沈阳经济技术开发区沈辽西路 111 号沈阳工业大学Address :No.111 Shenliao West Road, Economic and Technological Development Zone, Shenyang, Liaoning.电话 Telephone：0086-24-25494292 传真 Fax:0086-24-25494292 邮政编码 Postcode：110870Email： Website：http:/
