Admission / Accommodation
Application Form for International Students

川北医学院外国留学生入学申请表

CHINA NORTH SICHUAN MEDICAL UNIVERSITY APPLICATION FORM 

FOR INTERNATIONAL STUDENTS

 

护照用名

/Name in passport

/Family name

 

中文名

/Chinese name

 

 

Photograph

 

/Given name

国籍

/Nationality

 

护照号码

/Passport No.

 

出生日期

/Date of birth

            

/year    /month   /date

 Male

 Female

已婚□Married

未婚□Single

出生地点

/Place of birth

 

宗教

/Religion

最后学历/ Highest education level

职业或身份/Occupation

 

工作或学习单位/Employer or school affiliated

母语/native language

 

永久通讯地址/Permanent mailing address:

 

 

电话/Tel:                传真/Fax:                    E-mail:

目前通讯地址/Current address if different from above:

 

 

电话/Tel:                         传真/Fax:                    E-mail:

申请学习时间

Study duration

/from        /Y     /M     /D  /to            /Y     /M     /D

现有汉语水平/Check the appropriate box to indicate the number of Chinese words you know.

A  None    B  about 200   C  about 600   D  about 1000   E  over 2000

学习类别/Program applied for:

1. 专业/major:

2. 学历教育/Degree courses

 医学本科生 (学制6)/Bachelor –MBBS (6 years)

 研究生(学制3年)/Master(3years)

« 用汉语学习专业的留学生,需通过HSK考试36

International students, who will study their major in Chinese language,

need to pass HSK certificate level 36.

经费来源保证人的通讯地址/电话/Sponsor’s mailing address /Tel

 

保证人签字/Sponsor’s signature

家庭主要成员/Family members

姓名/ Name                       关系/ Relation              电话和传真/ Tel. & Fax

 

 

本人简历(从高中开始)/Curriculum vitaeStarting from high school

 

单位                                       时间(年月——年月)        职务

/previous and current education & employer       /years attended (from/to)         /Position

我愿意到川北医学院学习,在校学习期间保证做到下列各项:

1. 遵守中华人民共和国法律。

2. 遵守学校的各项规章制度,努力学习。

3. 按时缴纳学校规定的学生应该缴纳的各项费用。

4. 上述各项中填写的内容是真实无误的。

I am willing to study at NSMC.  I pledge the following terms during my study:

1. I will abide by the laws of the People’s Republic of China.

2. I will study industriously and observe all rules and regulations of the University.

3. I will pay all expenses on time.

4. All the information in this form is true and correct.

学生本人签字/Applicants signature

 

日期/Date

2017-09-07 10:43:23 Visited:25