APPLICATION FORM FOR INTERNATIONAL STUDENTS
AT SHIJIAZHUANG TIEDAO UNIVERSITY
1．个人基本情况
| 护照用名 Name in passport | 姓 Family name | 中文名 Chinese name | ||||||||||
| 名 Given name | ||||||||||||
| 国 籍 Nationality | 出生地点 Place of birth | |||||||||||
| 出生日期 Date of birth | 男 □Male 女 □Female | |||||||||||
| 护照号码 Passport No. | 有效期限 Expiration | 已婚 □Married 未婚 □Single | ||||||||||
| 现工作单位 Current employer | ||||||||||||
| TEL: | FAX: | |||||||||||
| 永久通讯地址 Home address: | ||||||||||||
| TEL: | E-mail: | |||||||||||
| 学习/研究期限 Duration of study Or research | 从from 到to | |||||||||||
| 汉语水平 HSK | 其它语言 Other Language | |||||||||||
| 经费来源 Source of Funding | □ 奖学金 Scholarship □ 自费 Self-support □其他 Others | |||||||||||
| 留学类别 Program applied for | 攻读学位 Degree program | Program Name： Level：□本科生/B.A.□硕士研究生/M.A. □博士研究生/Ph.D. | ||||||||||
| 不攻读学位 Non-degree program | □ 语言Language student □ 普通进修生Advanced student □ 高级进修生Senior advanced student | |||||||||||
| 介绍来华单位 或个人 Recommended by | 通讯地址Mailing Address: | |||||||||||
| 电话(TEL): | E-mail: | |||||||||||
2．履历 Education & Employment Background:
| Yr./Mo.-----Yr./Mo. | 单位previous and current education institutes & employers | 备注 |
3．家庭情况 Family Background:
| 姓名 Name | 关系/ Relationship | 年龄 Age | 职业 Occupation |
| Tel: E-mail: | |||
4. 紧急联络人资料 Emergency Contact Information
| Name | Relationship | ||
| Tel | |||
| Address | |||
5. 申请人担保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 given in this form is true and correct:
② 在中国学习研究期间将遵守中国政府的法律和石家庄铁道大学的规章制度：
I shall abide by the laws of the Chinese Government and the regulations of Shijiazhuang Tiedao University.
③ 接受石家庄铁道大学对学习专业和课程的安排.
I shall accept the arrangements made by Shijiazhuang Tiedao University regarding my field and courses of study.
④ 按时缴纳学校规定的学生应该缴纳的各项费用。
I will pay all expenses on time.
申请人签名Signature：_________________________
日期Date：________________________