PLEASE TYPE OR WRITE WITH PEN
Application Form for
Full Name (Same as in Passport):
Family Name .
Given Name . Photo glued in here
Date of Birth: ______ /Year____ /Month /DayPlace of Birth. Nationality _____ .
Sex___ Marital Status Health Status_____ .
Passport No. Religion
Language(s) Known to Applicant
Present Occupation & Postal Address of Working or Studying Place .
.
Tel. No. . E-mail (Capitalized) .
Highest Academic Degree Obtained .
Employment Record .
.
Study Plan .
Estimated Duration of Study .
Estimated Arrival Time in
I hereby affirm that:
(1) The information in this form is true and correct.
(2) I shall abide by the laws of the Chinese Government and the regulations of my school.
Date of Application .
Signature .
Contact ZCMU:
Tel: 86-571-86613545 Fax: 86-571-86613522
E-mail: [email protected] Web site: www.zjtcmiec.net
Add:
(PC: 310053)
