外國人自費來華學習申請表

1、<p>　　港 澳 臺 地 區(qū) 學 生 來 華 南 理 工 大 學 學 習 申 請 表</p><p>　　APPLICATION FORM FOR HONG KONG, MACAO & TAIWAN STUDENTS STUDY IN SCUT</p><p>　　請用中文或英文填寫此表格。請用黑色鋼筆認真書寫表格內(nèi)容。請在所選項框內(nèi)劃‘√’表示。</p>

2、<p>　　Please complete the form in Chinese or English in black ink and complete tick boxes as appropriate.</p><p>　　申請人情況/Personal Information:</p><p>　　中文名/Chinese Name: __________________

3、____________________________________</p><p>　　回鄉(xiāng)證/臺胞證用名/Passport Name: 姓/Family Name: ____________________________</p><p>　　名/Given Name: _____________________________</p><p>　　地區(qū)/R

4、egion: ________________ 回鄉(xiāng)證/臺胞證號碼/Passport No.: _________________</p><p>　　出生日期/Date of Birth: 年/Year_______月/Month_______日/Day_______ </p><p>　　出生地點/Place of Birth: _____________________</p

5、><p>　　□ 男/Male □ 女/Female □ 已婚/Married □ 未婚/Single </p><p>　　母語/Native Language:_______________________ 宗教/Religion:______________________________________</p><p>　　當前聯(lián)系地址/Presen

6、t Address:___________________________________________________________________</p><p>　　電話/Tel: _____________________ 傳真/Fax: _____________________ E-mail: __________________________</p><p>　　永久通

7、信地址/Permanent Address: __________________________________ _____________________________</p><p>　　電話/Tel: _____________________ 傳真/Fax: _____________________ E-mail: __________________________</p><

8、p>　　受教育情況/Academic History:</p><p>　　學校 在校時間 主修專業(yè) 畢業(yè)證書及學位證書</p><p>　　Institutions Years Attended Fields of Study

9、 Certificates Obtained or </p><p>　　(from/to) to Obtain</p><p>　　___________________ _____________________ _____________________ _____________

10、_________</p><p>　　___________________ _____________________ _____________________ ______________________</p><p>　　___________________ _____________________ _____________________

11、 ______________________</p><p>　　___________________ _____________________ _____________________ ______________________</p><p>　　工作經(jīng)歷/Employment History:</p><p>　　工作單位

12、 起止時間 從事工作 職務及職稱</p><p>　　Employer Time (from/to) Work Engaged Posts Held</p><p>　　___________________ __

13、___________________ _____________________ ______________________</p><p>　　___________________ _____________________ _____________________ ______________________</p><p>　　_________

14、__________ _____________________ _____________________ ______________________</p><p>　　語言能力/Language Proficiency:</p><p>　　a).漢語/Chinese: □很好/Excellent □好/Good □較好/Fair □差/Poor □不會/N

15、one </p><p>　　HSK 考試等級或其他類型漢語考試成績/ Level of HSK test or other certificates which can show your </p><p>　　Chinese level:__________________________________________________________________________

16、____</p><p>　　b).英語/English: □很好/Excellent □好/Good □較好/Fair □差/Poor □不會/None</p><p>　　我的英語水平可以用英語學習/I can be taught in English: □是/Yes □否/No </p><p>　　c).其他語言/Other Languages:_

17、__________________________________________________________________</p><p>　　來校學習計劃/Proposed Study in SCUT:</p><p>　　a). □ 本科生/Undergraduate Candidate: </p><p>　　(授課語言/Language of In

18、struction: □英語/English, □中文/Chinese)</p><p>　　□ 碩士研究生/Master’s Degree Candidate　□　博士研究生/Doctor’s Degree Candidate</p><p>　　□ 漢語進修生/Chinese Language Student □ 普通進修生/General Visiting Study Stud

19、ent</p><p>　　□ 高級進修生/Senior Visiting Study Student </p><p>　　b).請注明所申請的專業(yè)或研究專題和院系/Please state the degree subject or field and School for which you are applying):

20、 </p><p>　　c).申請專業(yè)學習時間/Duration of Specialized Study:</p><p>　　自/From：________月/Month ________年/Year 至/To： ______月/Month ______年/Year</p><p>　

21、　d).是否需要補習漢語/Do You Need Elementary Chinese Study prior to the Specialized Study?</p><p>　　□ 是/Yes 請?zhí)顚懮暾垵h語補習時間（不計在專業(yè)學習時間內(nèi)）/If ‘Yes’, please indicate the duration of your elementary Chinese study (not includ

22、ed in the length of the specialized study).自/From：____月/Month __ __年/Year 至/To：____月/Month _____年/Year</p><p><b>　　□ 否/ No</b></p><p>　　擬在華南理工大學學習或研究的詳細內(nèi)容（可另附紙）/ Please Describe the

23、Details of your Study or Research Plan in SCUT (an extra paper can be attached if this space is not enough):</p><p>　　_________________________________________________________________________________________

24、_____</p><p>　　______________________________________________________________________________________________</p><p>　　___________________________________________________________________________

25、___________________</p><p>　　______________________________________________________________________________________________</p><p>　　_____________________________________________________________

26、_________________________________</p><p>　　曾發(fā)表的主要學術論文、著作及作品/Academic Papers, Writing & Art Works Published:</p><p>　　_________________________________________________________________________

27、_____________________</p><p>　　______________________________________________________________________________________________</p><p>　　___________________________________________________________

28、___________________________________</p><p>　　申請人經(jīng)費來源/Source of Financial Support:</p><p>　　□ 華南理工大學優(yōu)秀留學生獎學金/ SCUT’s Intenational Scholarship for Excellence</p><p>　　□ 中國政府獎學金/Chines

29、e Government Scholarship</p><p>　　□ 團體資助/Organization Supported </p><p>　　□ 個人支付/Self-financed </p><p>　　推薦您來華南理工大學學習的機構或個人/Please Specify the Organization or Person Reco

30、mmending you to study in SCUT: ________________________________________________________________________________</p><p>　　申請人在內(nèi)地聯(lián)系人或機構/ The Guarantor Charging Your Case in Mainland China: </p><p>

31、;　　名稱/Name:_______________________________ 電話/Tel:_________________ 傳真/Fax:_________________</p><p>　　地址/Address:_________________________________________________________________________________</p>&

32、lt;p>　　申請人是否曾在內(nèi)地學習或任職/Have you ever Studied or Worked in Mainland China?</p><p>　　□是/Yes: 學習或任職單位/Institution or Employer: ________________________________________________ </p><p>　　在內(nèi)地時間/Tim

33、e in Mainland China: 自/From:年/Year_____月/Month____ 至/To:年/Year_____月/Month____</p><p><b>　　□否/No: </b></p><p>　　申請人親屬情況/Family Members of the Applicants:</p><p>　　姓 名

34、 Name 年 齡 Age 職 業(yè) Employment</p><p>　　配偶/Spouse: __________________________ ______________ _____________________________</p><p>　　父親/Father : ___________

35、_______________ ______________ _____________________________</p><p>　　母親/Mother: __________________________ ______________ _____________________________</p><p>　　13.您是通過什么渠道獲

36、得我校的信息的/Where and how do you get the information of SCUT？</p><p>　　□ 中介/Agency;□教育展/Education Fair;□ 朋友/Friends;□ 其它/Others__________;</p><p>　　□ 網(wǎng)絡/Internet(□Search engine:_____________ □Other

37、website:_________________)</p><p>　　所附材料情況（請在所附附件前劃‘√’標明）/Materials Attached (Please Indicate with ‘√’in the Bracket.):</p><p>　　□ 本人已完成課程成績單復印件/ Transcripts of the Courses (Photocopy).</p>

38、;<p>　　□ 本人最后學歷證書復印件/Diploma of Most Advanced Studies (Photocopy)：</p><p>　　本科/Bachelor’s □ 碩士/Master’s □ 博士/Doctor’s □ 其它/Others □</p><p>　　□ 來華南理工大學學習計劃/ Study Plan in SC

39、UT.</p><p>　　□ 所發(fā)表的文章等/ Articles or Papers Written or Published.□ 其它附件（請列出）/Other Attachments (List Needed)：_________________________________________________________</p><p>　　注：a)每份申請材料最多不超過20頁

40、，請全部使用A4紙。</p><p>　　Each set of the complete materials should not exceed 20 pages. Please use DIN A4.</p><p>　　b)無論申請人是否被錄取，上述申請材料恕不退還。</p><p>　　All the application materials will n

41、ot be returned no matter whether the candidates are accepted or not.</p><p>　　申請人保證/I Hereby Affirm That:</p><p>　　申請表中所填寫的內(nèi)容和提供的材料真實無誤；</p><p>　　All information and materials given

42、 in this form are true and correct.</p><p>　　在內(nèi)地期間，遵守中國內(nèi)地的法律、法規(guī)，不從事任何危害中國內(nèi)地社會秩序的、與本人來內(nèi)地學習身份不符合的活動；</p><p>　　During my stay in Mainland China, I shall abide the laws and decrees of the Mainland C

43、hina government, and will not participate in any activities in Mainland China which are deemed to be adverse to the social order of Mainland China and are inappropriate to the capacity as a student.</p><p>　

44、　在學期間，遵守學校的校紀、校規(guī)，全力投入學習和研究工作。尊重學校的教學安排；</p><p>　　During my study in SCUT, I shall abide the rules and regulations of the host university, and concentrate on my studies and researches, and follow the teaching

45、 programs arranged by the university.</p><p>　　按規(guī)定期限修完學業(yè)，按期回所在地區(qū)，不無故在內(nèi)地滯留；</p><p>　　I shall return to my home region as soon as I complete my scheduled program in Mainland China, and will not ex

46、tend my stay without valid reasons.</p><p>　　申請人簽字/Signature of the Applicant:_____________________________ 日期/Date:___________</p><p>　?。o此簽名，申請無效/The application is invalid without the applica