英文姓名(护照)/Full name in English as in the Passport:

照片(photo)

姓/Surname

名/Given name

国籍

Nationality

护照号码

Passport No.

性别Sex

出生日期

Date of Birth

______/______/______

( year/ month /  day)

婚否

Marital status

出生地点

/Place of Birth

电话Tel

电子邮件Email

通信地址

Post Address

最后学历/Highest Academic Degree Obtained                    职业/Occupation                   

工作单位/Employer or School Affiliated                                                         

来华学习专业/Field of Study in China                                                           

留学期间/Duration of Study  自/From     年/year    月/month 至     年/year      月/month

现有汉语水平/ Chinese Proficiency:  

□     很好/Excellent; □好/Good: □较好/Fair; □差poor;  □不会/None; 

□     汉语水平考试级别/ HSK-band __________;

英语水平/English Proficiency:

其它语言/other foreign language: 

爱好或特长/Special skills or hobbies:

经费来源/Source of Funding                

经济保证人姓名/Financial Sponsor’s name                                                  _  

地址及电话号码/Address & Tel                                                  _         _  

与申请人关系/Relationship with the Applicant                                               

登记人签字/Signature  _______________________      日期/Date__________________________