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合胆幼几师抽富等苦科学校
HEFEI PRESCHOOL EDUCATION COLLEGE
国际学生入学申请表
APPLICATION FORM FOR FOREIGNERS TO STUDY AT HEFEI PRESCHOOL EDUCATION COLLEGE 姓名/Name: 国籍 /Natio nality:
出生日期:年月曰 Date of Birth:
性别 /Sex: □男 /Male □女 /Female 护照号码/Passport No: 出生地点 /Place of Birth:
照片 Photo
家庭地址和电话 /Home Address and Teleph one Number:
最后学历 /Highest Academic Degree Obtained: 职业 /Occupatio n:
国外工作或学习单位 /Employer or School Affiliated: 汉语水平 /Chinese Level: 学习期限:
自
年
Durat on: From Year Month 推存单位和电话/Referenee: 经济来源 /Source of fun di ng: 担保人 / Guarantor :
(Duplicatio n of This Form is Available)
□奖学金 /Scholarship □其他 /Other
□自费:Self-support
□ excellent
月
□ fair 至
□ good □ poor 年
月
婚否 /Marital Status:
To Year Month
此表请奇: Please return this form to :
230013中华人民共和国
合肥幼儿师氾咼等专科学校招生办
P.R.Chi na
Admission Office
Hefei Prechool Education College 1100 Xuelin Road, Xin zhan District
女徽省合肥市新站区学林路 1100号
Hefei 230013, An hui
电话:86-0551-62520127、62520128 传真:86-0551-62520128 E-mail:hfyzzsb@163.com
Tel: 86-0551-62520127 、62520128
Fax: 86-0551-62520128 E-mail: hfyzzsb@163.com
本人简历 /Curriculum vitae 学校/单位
Previous and Curre nt Educati on & Employer
时间(年月一一年月) Years Atte nded(from/to)
职务 Positi on
家庭主要成员/Family members 姓名/Name
关系/Rel
电话和传真/Tel.& Fax
担保人 /Your reference in case of emergency during your stay at HFPEC. 姓名/Name: 国籍 /Nationality: 永久通讯地址/Address:
与本人关系 /Relationship to the applicant:
单位 /Name of your employer: 电话/TeL(住宅/home) 传真 /Fax:
(办公室/office)
E-mail:
我愿意到合肥幼儿师范高等专科学校学习,在校学习期间保证做到下列各项: 1、 遵守中华人民共和国法律。 2、 不从事学习目的以外的活动。 3、 遵守学校的各项规章制度,努力学习。 4、 缴纳学校规定的学生应缴纳的各项费用。
I am wiling to study at Hefei Preschool Education College. I pledge the following terms during my study:
1. I will abide by the laws of the People
' s Republic of China.
2. I will not engage in activities bearing no relation with my academic pursuit in China. 3. I will study industriously and observe all rules and regulations of the College. 4. I will pay all expe nses on time. 学生本人签字 /Signature of the applicant:
日期/Date:
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