• 中文名Chinese Name(optional)
• 原名Name in Original Language*
• 国籍Nationality
• 护照号码Passport No.
• 宗教信仰Religion
• 出生地点Place of Birth
• 性 别Gender 男（Male） 女（Female）
• 婚否Marital Status 已婚（Married） 未婚（Unmarried）
• 出生日期Date of Birth Year Month Day
• 地址Add.
• 电话、传真Tel.
• 电子邮箱E-mail
• 最后学历Highest Academic Degree Obtained
• 职 业Occupation
• 工作或学习单位Employer or School Affiliated With
• 来华学习专业Major of study in China
• 学习期限自Duration from至to
• 留学类别 Student Category 汉语语言生Chinese Language Diploma 汉语本科生Bachelor Degree in Chinese Language 普通本科生Bachelor Degree in other specialization 短期语言培训生Short-term Intensive Chinese Language Courses
• 经费来源 Sources of Support 自费/Self-Supporting 经济担保人及机构Financial support will be provided by
• Financial support will be provided by
• 推荐单位Reference
• 在华事务担保人Guarantor in China
• 学习要求Academic Requirements in China
• 宿舍类型Accommodation One student per room (9500 RMB/Term) Two students per room (4600 RMB/Term)
• 现有汉语水平Current Chinese Level
• 会何种其他语言Other Languages speaked
• 本人简历Resume

注意事项（Attention Needed）

• 1. 请按韶关学院提供的专业介绍选择学习专业
•     Please choose your specialty from the list of specialties offered by Shaoguan University.
• 2. 各类留学生应该提供相应的学业证明
•     Relevant academic certificates are required for students of all categories.
• 3. 填好后请寄回韶关学院外事处：中国广东韶关学院外事处
•     Please return this form to: International Office of Shaoguan University, Shaoguan City, Guangdong, P.R. China
• 邮编(Zip)：512005
• 电话(Tel)：+86—751—8121371
• 传真(Fax)：+86—751—8120203
• E-mail：suweiran@gmail.com
• 点击下载此表格 Click to download this form