伦敦大学 东亚研究.pdf

Application for Admission as a Postgraduate Student School of Oriental and African Studies (University of London), FOR OFFICE USE ONLY Thornhaugh Street, Russell Square, London WC1H 0XG, UK. DATE OF RECEIPT Please read the enclosed Notes before completing this form. Please use BLOCK CAPITALS and BLACK INK. A Personal Details 1 Surname (Family Name)* _____________________________________________________________________________________________ Forename ________________________________________________________________________________________________________ * This is the name in which your application will be registered 2 Sex (please tick) 3 Marital status (please tick) 4 Date of birth Male Female Single Married Day Month Year £ £ £ £ ££ ££ ££ 5 Permanent address _________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ Postcode _________________________________________ Telephone _______________________________________________________________ 6 Address for correspondence __________________________________________________________________________________________ ______________________________________________________________________ Postcode __________________________________ Please give dates for which this is valid: From Day Month Year to Day Month Year ££ ££ ££