NO.___________________________ LB_____________YX____ _ JF_____________ ZY_________ __ TJ_____________QX______ ______ BZ________________________ ___
中国100088 北京市海淀区西土城路4号
Xi
Tel: 86-10-8204-5433, 8228-3315 Fax: 86-10-8204-5747 请勿填写此处(Do not write in this space)
E-mail: ao.is@bfa.edu.cn Http://www.bfa.edu.cn
l 请用中文打印填写此表/Please complete the form in Chinese by printing.
1.申请人情况/Personal Information
姓名 Name |
护照用名 Passport name |
姓/Family Name: |
照 片 Photo | |||||||
名/Given Name: | ||||||||||
中文姓名 In Chinese | ||||||||||
性别 Sex |
国籍 Nationality |
婚姻状况 Marital Status | ||||||||
护照号码Passport No. 有效期至/Valid Until _________年______月_______日 Yr. Mon. Date | ||||||||||
出生日期 _________年______月_______日 Date of Birth Yr. Mon. Date |
出生地 国家 城市 Place of Birth Country City | |||||||||
最后学历 Educational level |
宗教信仰 Religion |
母语 Native language | ||||||||
目前所在学校或机构 Place of study or work: |
职业 Occupation | |||||||||
电话/Tel: |
传真/Fax: |
电邮/E-mail: | ||||||||
录取通知书邮寄地址/ Address for Correspondence (Please inform the BFA International Student Office for any change of this address)
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家庭住址 /Home Address & Tel. | ||||||||||
2.受教育情况/Educational background(请从小学填起)
学校/Institutions |
在校时间/Date entering and leaving |
在学状态/Qualification obtained |
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特长及爱好/Specialties or interests: |
3.工作经历/Employment Record
工作单位/Employer |
起止日期 Time (from-to) |
从事工作 Work Engaged |
职务 Positions |
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4.语言能力/Language Proficiency
汉语/Chinese: □ 很好/Excellent □ 好/Good □ 较好/Fair □ 差/Poor □ 不会/None HSK 考试等级(如果有请填写)/Level of HSK Test(If appropriate): 级Level |
英语/English: □很好/Excellent □ 好/Good □ 较好/Fair □ 差/Poor □ 不会/None |
其它语言/ Other Languages: |
5.申请项目(请严格按照招生专业目录填写)
a. 申请院系/Department |
b. 申请专业和方向/ Major& Field |
c. 专业代码 |
6.申请人亲属情况/Family Members
姓名/Name |
年龄/Age |
职业/ Occupation |
联系电话/Tel |
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父亲 Father |
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母亲 Mother |
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配偶 Spouse |
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7.推荐人情况/ Information for Recommending Person
姓名/Name |
工作机构/Organization |
职务/Position |
联系电话/Tel |
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8.在华事务担保人或机构(如有请填写)/ The Guarantor Charging your case in China(If you have)
姓名/Name |
联系电话/Telephone |
职业/ Occupation |
Email: |
工作机构/Organization | |
联系地址/Address |
9.申请人保证/I hereby affirm that
(1)上述各项中所提供的情况是真实无误的/All the information 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 BFA. 日期/Date 申请人签字/Applicant’s signature____________________ |