外国留学生来华学习申请表.

贵 州 师 范 大 学

GUIZHOU NORMAL UNIVERSITY

外 国 留 学 生 来 华 学 习 申 请 表

Application Form for Foreigners Wishing to Study in China

申请人认真阅读本表末页的注意事项后再填写下列诸项

Please read the IMPORTANT NOTES at the end of the form carefully before filling in the form. 姓 名

Family Name Given Name 国籍 Nationality

护照号码Passport No. 性别 Sex

男M□ 女F□ 出生日期 Date of Birth

年 月 日 Year Month Date

主修专业 Field of Study

照 片

Photo

出生地 Place of Birth

最高学历 Highest 毕业学校 Name of School Educational Level

现在所在学校或部门 Current School or

Place of Work 宗教信仰/Religion 职业或职 Occupation/Status

务

通信地址 Mailing Address (电话Tel/ 传真 Fax/ 电子邮件 E-mail)

永久通信地址 Permanent Address (电话Tel/ 传真 Fax/ 电子邮件 E-mail)

计划在校学习时间 Expected Duration of Study at GZNU

从 年 月 日 至 年 月 日 From Year Month Date to Year Month Date 学习专业 Specialty of Study

学生类别 Students Status

本科生 B.A. □ 普通进修 General □

语言熟练程度 Language Ability

很好 □ 好 □ 一般 □ 初学 □

在何地学过汉Where did you learn Chinese?

学习时间 Duration of Study

注意事项：（IMPORTANT NOTES）

申请人保证：1、上述各项中所提供的情况是真实无误的。

2、在中国学习期间遵守中国的法律和学校的规章制度。

3、在贵州师范大学学习的单身留学生应该住进校园内的留学生楼。如果在校

外租住房屋，留学生必须对自己的人身及财物的安全负责。留学生在租房前必须先告知校外事处，后由校外事处上报，经贵阳市出入境管理处同意后，方可租住，租住前须到辖区派出所填写外国人入境居住登记表。 4、任何人不得从事与来华身份不符的活动。

5、留学生从进入中国国境之日起应立即向保险公司申请医疗保险。不论留学

生在所在国是否有医疗保险，均应向其留学所在地的保险公司投保，保险费和有可能实际发生的医疗费用全部由留学生本人承担。 6、按时缴纳学校规定的学生应该缴纳的各项费用。

I hereby affirm

that: a. All the information in this form is true and correct.

b. I shall abide by the laws of the Chinese Government and the regulations of GNU.

c. Security is an important issue, so please take note of it. International students (single) should live in International House on campus. International students with a family could rent an apartment near the school.（If you choose to live off-campus and are satisfied with your apartment, please give us the address, and the Police from the PSB will inspect it, then you can rent it. You should go to the local police security department to fill the Residence Registration Form for Passengers from Boundary Outside before you live in. ）

d. I will not engage in activities bearing no relation with my academic pursuit in China.

e. International students should immediately apply for medical insurance from the day that they enter China. In spite of some international students having medical insurance in your own country, all should apply for medical insurance from China’s insurance company. Additionally, the student is responsible for covering the insurance premium and other expenses.

f. I will pay all expenses on time.

申请人签字 日期 Signature of Applicant Date （无此签名，申请无效）

(The application is invalid without signature)

注意：填写要字迹工整、清楚，在递交本申请表的同时，请按招生简章要求提供各种证明

文件。

Applicants should write neatly and clearly and submit this form together with copies of all other documents required in our brochure.

No. _____________________

收表日期 ________________ (to be officially used only)