护照用名*

Passport Name

中文名*

Chinese Name

性 别*

Gender

国 籍*

Nationality

出生地

Place of Birth

出生日期* （格式：年月日8位数字如20020516）

Date of Birth

护照号码*

Passport No.

手机号码*

Cell Phone

邮 箱*

E-mail:

婚姻情况*

Marital Status

已婚 Married 未婚 Single 其他 Others

所在国地址*

Home Country Address

学生类别*

Types

本科生 Bachelor’s Degree

汉语进修生 Chinese Language

宗教*

Religion

无宗教 No religion 佛教 Buddhism

基督教 Christian 伊斯兰教 Islam

其他 Others

申请专业*

Major

申请学习时间*（格式：四年制填写4，两年制填写2） Duration of the Study

语言能力 Language Proficiency

1.汉语* Chinese：好 Good 一般 Fair 差 Poor 不会 None

HSK考试等级* Level of HSK Test：

2.英语* English：好 Good 一般 Fair 差 Poor 不会 None

3.其他语言 Other Languages：

曾受教育情况（自高中写起） Education Background:

学校

Institutions

在校时间（起止日期）

Years Attended From / to

毕业证书（有/无）

Certificates Obtained

在华事务联系人 The Information of the Guarantor Charging Your Case in China

姓 名

Name

国 籍

Nationality

与本人关系

Relationship

地 址

Address

联系电话

Tel. No.

经济担保人或者机构The Information of the Financial Guarantor

姓 名

Name

国 籍

Nationality

与本人关系

Relationship

地 址

Address

联系电话

Tel. No.

亲属情况 Family Members of the Applicant

亲 属

Family Members

姓 名

Name

职 业

Employment

手机号码

Cell Phone

地通讯址

Address

父 亲 Father

母 亲 Mother

申请人保证 I Hereby Affirm That：

申请表中所填写的内容和提供的材料真实无误，在华期间，遵守中国的法律、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符合的活动。在学期间，遵守学校的校纪、校规，全力投入学习和研究工作。如违反上述保证，将接受中国法律、法规或校纪、校规的惩处。

All information and materials given in this form are true and correct. During my stay in China, I shall abide by the laws and decrees of the Chinese government, and will not participate in any activities in China that are deemed to be adverse to the social order of China and are inappropriate to a student.During my study in China, I shall abide by the rules and regulations of the host university, and concentrate on my studies and researches.If violating the above, I will be punished by Chinese laws and decrees or the rules and regulations of Suqian university.

注：请将以下申请材料发送至邮箱：admission@squ.edu.cn（邮件主题填写申请人中文名）

Note:Please send the following application materials to the email: admission@squ.edu.cn (With the applicant's Chinese name as the email subject)

1

《宿迁学院来华留学生入学申请表》

Official Application Form for International Students of Suqian University

【样表下载Download Sample Table】

2

护照首页

Copies of the passport’s bio-data page.

3

最高学历证书扫描件和加盖原所在学校公章的成绩单扫描件，中、英文以外文本需附经公证的中文/英文译本。

Scanned copies of the highest degree/diploma certificate and original official transcripts bearing the official seal of the issuing institution. Documents in other languages except Chinese and English are required to be translated into Chinese and English and notarized.

4

汉语水平考试（HSK）成绩单，有效期需在两年以内。

Valid HSK (Chinese Proficiency Test) score report issued within the past two years.

5

《外国人体格检查表》，有效期为6个月，申请人应严格按照《外国人体格检查表》中要求的项目进行检查，缺项、未贴有本人照片或照片上未盖骑缝章、无医生和医院签字盖章、无检查日期的《外国人体格检查表》无效。

Foreigner Physical Examination Record (valid for 6 months). The examination must strictly comply with all items specified in the form. Incomplete forms, missing photos, photos without an overlapping security stamp, or lacking signatures/stamps from both the physician and hospital will be rejected.

6

原所在学校出具的在校无违纪证明。

Disciplinary Clearance Certificate issued by the applicant’s previous educational institution.

7

无犯罪记录证明，有效期需在6个月以内，中、英文以外文本需附经公证的中文/英文译本。

Police Clearance Certificate (PCC) issued within the past 6 months. Documents in other languages except Chinese and English are required to be translated into Chinese and English and notarized.

8

白色背景证件照片（35mm×48mm）。

Two recent passport-style photographs (35mm×48mm, white background).

9

个人简历、获奖证书（复印件）等。

Personal resume (CV) and notarized copies of awards/certificates, if applicable.

10

自我介绍视频（2-3分钟中文自我介绍）。

A self-introduction video for 2 to 3 minutes in Mandarin Chinese (MP4 format, clear audio/video quality).

11

经济担保证明（银行开具）。

Proof of Financial Capacity (e.g., original bank deposit certificate showing a minimum balance of CNY 10,000 for one academic year).