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

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 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 Education Background:

学校

Institutions

在校时间

Years Attended From / to

毕业证书

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.

申请日期

Date

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

申请表/Application Form【样表下载Download Sample Table】

2

护照复印件/Photocopy of Passport

3

最后学历成绩单/Photocopy of Transcripts of the Most Advanced Studies

4

最后学历证书/Photocopy of Diploma of the Most Advanced Studies

5

中文水平证明材料/Chinese Proficiency Documents

6

《外国人体格检查表》/Foreigner Physical Examination Form

7

所在学校出具的在校无违纪证明/Certificate of No Disciplinary Violation Issued by the School Where the Student Is Currently Enrolled

8

无违法记录证明/Certificate of No Criminal Record

9

白色背景证件照片/ID Photo with a White Background