1、- 1 -郑州大学外国留学生入学申请表Application Form for Foreign Students to ZZU （编 号 ）申请人基本情况/Personal Information姓/Surname：名/Given name：中文名字/Chinese Name性别/Gender 国籍/Nationality 护照号码/ Passport No.民族/Religion 婚否/Marital Status 出生地点/ Place of Birth照片/Photo出生日期： 年 月 日Date of Birth: Yr. Mon. Date目前居住地/Place of residen
2、ce at present职业/Occupation 最后学历/Education level 工作或学习单位/Employer or Institution Affilited永久通信地址/Permanent Address for correspondence including postcode, contact person and telephone汉语/Chinese：很好 /Excellent ( ) 好/Good ( ) 较好/Fair ( ) 差/Poor ( ) 不会/None ( )老（新）HSK 证书 级 分/Old（New）HSK Certificate, Level
3、 Marks 语言能力LanguageProficiency 英语/English：很好/Excellent ( ) 好/Good ( ) 较好/Fair ( ) 差/Poor ( ) 不会/None ( )雅思考试成绩/IELTS Marks 托福考试成绩/TOEFL Marks 个性 /Personality 开 朗/Outgoing ( ) 内 向/ Introverted ( ) 爱交际/Sociable ( ) 不太爱交际/Not very sociable ( )教育经历（从高中起）/Academic Background (From High School)在校期间 (From/
4、To) 学校 (Institutions) 所获学历（Diploma/Degree Obtained）本人工作经历/Employment Record起止时间 (From /To) 工作单位 (Employer) 职务及职称 (Posts Held)申请人亲属情况/Family Members of the Applicants- 2 -姓名/Name 职业/ Occupation 联系电话/Telephone父亲/Father母亲/Mother配偶/Spouse- 4 -留学中国计划/Study plan in China希望在郑州大学学习的专业或专题/Specialty or Topic
5、you want to study in Zhengzhou University学生类别Student Status 普通进修生/ General advanced d Student（ ） 高级进修生 / Senior advanced Student ( )学习期限Duration 自/from：年/Year 月 /Month 至/to：年/Year 月/Month 经费来源Financial Support 团体资助/ Organization （ ） 家庭资助/ Family（ ） 个人支付/ Self-support（ ）推荐单位信息/ Information for Refere
6、nce推荐单位/Organization or Person 联系电话/Telephone E-mail在华事务担保人/ The Guarantor Charging your case in China姓名/Name： 联系电话/Telephone ：职业/ Occupation： 联系地址/Address ：经济担保人或机构/Financial Guarantee姓名/Name： 联系电话/Telephone ：职业/ Occupation： 联系地址/Address ： 申请人保证/I hereby affirm that1.上述各项中所提供的情况是真实无误的./All the info
7、rmation I provided above is true and correct.2.在校学习期间遵守中国政府的法规和学校的规章和制度./I shall abide by the laws of the Chinese Government and the regulations of Zhengzhou University.3. 接受郑州大学的学习安排./I shall accept the arrangements of Zhengzhou University regarding my study.日期/Date： 申请人签字/Applicants signature： 填表注
8、意事项/Notice for filling the application form1.上述所有信息均用电脑输入, 以免字迹不清延误审理时间 ./All information filled in the Application Form should be typed by means of computers to avoid misunderstanding or mistakes.2.在华事务担保人或机构, 须为在中国境内的人士或机构, 以便在紧急时能与其取得联系./The guarantors charging your case in China, we will contact
9、 them for your case when necessary.3.申请人在递送本申请表的同时, 请提交/Please send with this form.护照复印件/One photocopy of your passport最高学历证明/An official certificate of your highest education (or notarized photocopy)学习成绩单/Official transcripts (or notarized photocopy)经济担保或银行存款证明/ Financial guarantee or bank statemen
10、t无犯罪记录证明/Certificate of Non-criminal Record4.如果申请材料为非英语或非汉语版本, 需翻译为汉语或英文版本并经过权威部门公证./If your original certificate is not English or Chinese version, please ask authorized department or your school to translate it into English or Chinese. - 1 -5.若无申请人签字，视为无效申请./ The application is invalid without the applicants signature.6.不完整的申请表或未按要求提供有关材料，将会延误对此申请的审理时间./ An incomplete application or the failure to submit supporting documents, will delay the process of your application.
