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姓名/Name： |
| 姓/Family Name:
名/Given Name:
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国籍/Nationality：
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护照号码/Passport No：
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性别/Sex：
男
女 婚否/Marital Status：
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| 出生日期/Date of Birth：
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| 出生地点/Place of Birth：
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| 通讯地点及电话（本国家庭地址）/Mailing Address and Tel: |
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| 最后学历/Highest Academic Degree Obtained:
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| 职业/Occupation：
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| 原工作或学习单位/Sponsor(school,employer,noon)：
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| 推荐单位和电话/recommendation and tel：
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| 学习期限/Requested pried of study： |
| 自/From:
年/月/日/ Year/Month/Day |
| 至/To:
年/月/日/ Year/Month/Day |
| 每周课时/Hours Per week desired：
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| 希望参加哪个班/Preferred class： |
| 个人班/individual
2-4人/2to4students
5-8人/5to8student
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| 目前汉语水平/Chinese level: |
| 高级/Excellent
中级/Good
初级/Fair
零起点/Befinner
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| 何处学过汉语/Where have you previously studied Chinese? |
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| 学过多长时间/For how long?
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| 入学后居住选择/Accommodation : |
| 双人间/Double-Room
单人间/Single-Room
不需安排/Not Required
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| 申请人保证：I hereby state that: |
| （1）上述各项中所提供的情况是真实无误的。 |
| All the information in this form is accurate and truthful. |
| （2）在中国学习期间将遵守中国政府的法律和学校的规章制度。 |
| I shall abide by the laws of the prople's Republic of China and the regulations of |
| the international Youth |
| 申请人签字/Signature
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| 注意:不完整的申请表将会延误对此申请的审理时间。 |
| An incomplete application form will delay processing |
