1、 井冈山大学来华留学生入学申请表Application Form for Foreign Students of Jinggangshan University姓名 Name：姓/Family name 名/Given name 性别 gender 国籍/Nationality 护照号码/Passport No: 婚否/Marital Status出生日期： 年 月 日Date of Birth: Year Month Day出生地点/Place of BirthPhoto永久地址/Permanent Address：目前通讯地址/Current mailing address if diff
2、erent from permanent address：电话/ Tel : 传真/Fax: E-mail：最后学历/Highest Academic Degree Obtained: 职业/Occupation:工作单位或毕业学校/work unit or school graduated from: 汉语熟练程度/Chinese Proficiency:_; (HSK certificate):_家庭成员 Family Member姓名 Name与本人关系 Relationship现工作或学习单位Work (study) unit联系电话Tel .No.电子邮箱Email address申
3、请专业 /Field(major) of Study :临床医学/MBBS 土木工程/Civil engineering 汉语言/ Chinese Language program 学习专业期限： 自 年 月 至 年 月 Duration: From Y M to Y M 留学类别与计划/Student Status and Plan : 学士学位/Bachelors Degree 汉语言进修生/Chinese Language program 1.经济保证人姓名、地址、电邮及电话/Financial Sponsors name, address, email and Tel: _ 与申请人关
4、系/Relationship with the Applicant:_2.在华事务联系人或机构/Person or agency to act on your behalf in China:地址及电话号码/Address & Tel:申请人保证/I hereby affirm: I grantee all information above is true. I will abide by Chinese laws and regularities of JGSU, and pay tuition & hostel fees in time every year, otherwise JGSU can take any action on me.本人签名及签名日期/Signature & date：International School of Jinggangshan University Tel: 0086-796-8115936NO.28 Xue Yuan Road, Qingyuan District Fax: 0086-796-8109665Jian City , Jiangxi Province, P.R.C Email:
