申请编号ApplicationNo.(DHU-ICES填写)2019JH.doc

PAGE2 / NUMPAGES2 申请编号Application No. （DHU-ICES填写） 2019JH 东华大学 来华交换生 入学申请表 APPLICATION FORM FOR INCOMING EXCHANGE STUDENT (C.E.P 2019 SPRING) 请在电脑上用中文或英文清晰、完整地填写，打印后签字、扫描。 Please fill in the blanks in Chinese or English on computer, completely and clearly, then print it out, sign and scan. 护照姓名/ Passport Name: Surname: Given Name: 中文姓名/ Chinese Name: 国籍/ Nationality: 性别/ Sex: □男/Male □女/Female 出生日期/ Birth Date: 年Yr. 月Mo. 日D. 出生地/ City Country of Birth: 婚姻状况/ Marital Status: □未婚/ Single □已婚/ Married 宗教信仰/ Religion: 护照号码/ Passport No: 护照有效期/ Passport Validity: 年Yr. 月Mo. 日D. 电子邮件/ Email Address： 在华事务担保人及联系方式/ Name Tel. Number of Guarantor in China: 本国家庭联系地址与电话/ Home Telephone Address in Your Own Country：Tel.: (with country’s code) Complete Add.: 所在高校/ My Home University: 所在高校院系/The Faculty Department I enrolled is: 专业/Now I am Majored in (the program’s name) : 水平学历 My Current Degree Level： □ 本科生I’m a bachelor student, I started it from 年Yr. 月Mo. and is expected to graduate in 年Yr. 月Mo. □ 硕士生I’m a master student, I started it from 年Yr.