Chengdu Textile College (CDTC)
成都纺专高等专科学校
外国留学生入学申请表
Application Form for International Students
（Chengdu Textile College International Students Application Form）
请申请人用中文或英文清楚地填写以下诸项，并打印。不接受手写。不能缺项填写，没有的请写“无”。
Please print all the information requested. Handwriting is not acceptable. Please write “None” if not applicable.
护照名 （英语） Full Name in English according to your passport |
姓 Family Name: |
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中间名 Middle Name: |
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名 Given Name: |
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中文名 Chinese Name |
非强制填写，不超过6个汉字。 This filed is optional and should be filled in no more than six Chinese characters. |
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国籍 Country of Citizenship |
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性别 Gender |
□ 男 Male □ 女 Female |
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出生日期 Date of Birth |
年/Year 月/Mon 日/Date |
出生地点 Place of Birth |
国家Country _________________ _____
城市 City ______________________ |
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护照号码 Passport No. |
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护照有效期 Passport valid until |
年/Year 月/Mon 日/Date |
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婚姻状况 Marital Status |
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宗教信仰 Religion |
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职业 Occupation |
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工作/学习单位Employer/Institution |
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电话 & 手机 Tel & Mobile phone |
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电子邮件 |
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本国住址 Home Country Address |
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邮政编码 Zip Code |
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电话/传真 Tel/ Fax |
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通知书邮寄地址 Mailing Address for the Admission Package |
该地址若有变化，请及时通知留学生办公室。(Please inform the International Affairs Office of any change of this address in case the admission package can’t reach you.)
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收件人 Receiver |
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邮政编码 Zip Code |
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电话/传真 Tel/Fax |
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推荐单位 Recommended by |
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联系人 Contact person |
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联系地址 Address |
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电话/传真 Tel/Fax |
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学习经历（从中学起填写） Educational background（From Middle School） |
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学校名称 Institutions |
在校时间 Years attended (from/to) |
主修专业 Field of study |
所获文凭 Diploma received |
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语言能力，请用“好，一般，不会”评价。 Language proficiency（Good/Average/None） |
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汉语Chinese |
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HSK：_______级 ; 新HSK (□初级、□中级、□高级)： __________ ; BCT：____________ |
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英语English |
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TOEFL(score)________； GMAT_________； GRE_________； IELTS____________ |
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申请奖学金列表Scholarship Type |
□四川省外国留学生政府奖学金/ Sichuan Government Scholarship □成都纺织高等专科学校一等奖学金/ Chengdu Textile College First-Class Scholarship □成都纺织高等专科学校二等奖学金/ Chengdu Textile College Second-Class Scholarship □成都纺织高等专科学校三等奖学金/ Chengdu Textile College Third-Class Scholarship |
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家庭情况 Family Status |
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称 谓 Appellation |
姓 名 Name |
职 业 Occupation |
联系电话 Tel. |
电子邮件 |
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在华事务联系人Contact Person in China |
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姓名 Name |
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电话、手机 Tel & Mobile phone |
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电子邮件 |
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工作单位 Work Unit |
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联系地址 Address |
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申请人保证/I hereby affirm that:
1)上述各项中所填写的内容和提供的材料真实无误；
All information and materials provided here are true and correct.
2)在华期间，遵守中国的法律和法规，不从事任何危害中国社会秩序的，与本人来华学习身份不相符合的活动；
During my stay in China, I shall abide by the laws and decrees of the Chinese government, and will not participate in any activities which are deemed to be adverse to the social order in China and are inappropriate to the capacity as a student;
3)在学期间，遵守学校的校纪校规，尊重学校的教学安排。
During my study in China, I shall observe the rules and regulations of the college, and will concentrate on my studies and researches, and will follow the teaching programs provided by the university.
申请人签字 （Applicant’s Signature）：____________________________ 日期Date：___________________ (无此签名，申请无效。The application is invalid without the signature.) |
预祝您申请成功!
We wish your application success!
