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南方医科大学外国留学生入学申请表 APPLICATION FORM FOR INTERNATIONAL STUDENT

护照用名
Name on Passport
Given Name:
中文姓名
Chinese Name
Family Name:
照片
Photo
1MB以内 157*191px大小常用类型图片;
国籍/Nationality
性别/Gender
护照号码/Passport No.
护照有效期/Passport Validity
Year Month Date
婚姻状况/Marital Status
宗教信仰/Religion
出生日期/Date of Birth
Year Month Date
出生地点/Place of Birth
最高学历及获得时间/Highest Academic Qualification and the date obtained or to obt
职业/Occupation
当前学习或任职单位/Currently Institution Enrolled/Employed
电子邮箱E-mail:
目前联系地址及电话/Current Mailing Address & Tel
永久通讯地址及电话/Permanent Mailing Address & Tel
受教育情况(从高中起)/Education Background(high school and above)
在校时间
Years Attended
学校
Institutions
主修专业
Fields of Study
学位
Certificates
工作经历/Employment Record
起止时间
Time(from/to)
工作单位
Employer
从事工作
Work Engaged
职务
Position
家庭成员/Family Member
关系
Relationship
姓名
Name
电话
Phone Number
职业
Occupation
学习计划/Study Plan at SMU
申请类别 Category 专业或专题 Subject or Field of Study
博士研究生
Doctoral Candidate
专业 Major
研究方向 Research Field
硕士研究生
Master's Candidate
专业 Major
研究方向 Research Field
本科生
Undergraduate
专业 Major
研究方向 Research Field
高级进修生
Senior Advanced
student
专业 Major
研究方向 Research Field
普通进修生
General Advanced
student
专业 Major
研究方向 Research Field
预科生
Foundation Program
春季学期 Spring semester 秋季学期 Fall semester
学习时间/Duration of the Major Study
/From Year
Month
/To Year
Month
授课语言/Teaching Language
Foundation Program Chinese-Taught
汉语能力
Chinese Proficiency
很好
Excellent

Good
一般
Fair

Poor
不会
None
新HSK口试/New HSK Oral Level 新HSK笔试/New HSK Writing Level
英语能力
English Proficiency
很好
Excellent

Good
一般
Fair

Poor
不会
None
GRE GMAT TOEFL IELTS
非报读预科项目的学生,您是否申请预科学习中文一年
Do you want to take a one year program of elementary Chinese study except those directly applying for the foundation program
Yes No
经费来源/ Financial Support
自费 Self-support 经费担保人 Guarantor's name
与申请人关系 Relationship with the applicant
通讯地址及电话 Mailing Address & Tel
电子邮箱 Email
拟申请奖学金
Scholarship
中国政府奖学金 请登录中国国家留学基金委网站:http://www.csc.edu.cn
Chinese Government Scholarship Please Visit China Scholarship Council Web: http://www.csc.edu.cn
广东省政府来粤留学生新生奖学金 Guangdong Government Outstanding International Students Scholarship for Freshmen
南方医科大学外国留学生新生奖学金 Southern Medical University Outstanding International Students Scholarship for Freshmen
是否有入学推荐人Anyone recommend your application? Yes No
推荐单位 Organization
推荐人姓名 Name of Person Recommending Your Application
推荐人国籍 Nationality of Person Recommending Your Application
通讯地址及电话 Mailing Address & Tel
电子邮箱 Email
在华紧急事务联系人姓名 Name of Contacted Person in case of Emergency
工作单位 Organization
通讯地址及电话 Mailing Address & Tel
电子邮箱 Email
本国家庭住址 Home Country Address
联系电话 Phone Number
邮政编码 Zipcode
录取通知书邮寄地址 Address for Mailing the Admission Notice
收件人姓名 Receiver's name
收件人手机 Receiver's Mobile
邮政编码 Zipcode
所附材料情况(请在所附附件前划'X'标明)
Materials Attached (Please Indicate with 'X'in the Bracket.):
两封推荐信/Two Letters of Recommendation.
本人最后学历成绩单复印件(须公证)/Transcripts of the Most Advanced Studies (Notarized Photocopy)
本人最后学历证书复印件(须公证)/Diploma of the Most Advanced Studies (Notarized Photocopy)
高中/High-school's 本科/Bachelor's 硕士/Master's 博士/Doctor's
外国人体格检查记录(复印件)/ Foreigner Physical Examination Form (Photocopy)
来华学习计划/ Study Plan in China
所发表的文章等/ Articles or Papers Written or Published
申请人的语言情况证明/ English or Chinese Language Test Record
其它附件(请列出)/Other Attachments (List Needed):

八百元人民币报名费的银行或邮局汇款证明/Remittance of Application Fee RMB¥800 from Bank or Post Office
注:无论申请人是否被录取,上述申请材料及报名费恕不退还。
Whether the candidates are accepted or not, all the application materials and the application fee will not be returned.
申请人保证/I Hereby Affirm That:
1. 申请表中所填写的内容和提供的材料真实无误;
All information and materials given in this form are true and correct.
2. 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;
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 which are deemed to be adverse to the social order of China and are inappropriate to the capacity as a student.
3. 在学期间,遵守学校的校纪、校规,全力投入学习和研究工作,尊重学校的教学安排;
During my study in China, I shall abide the rules and regulations of the host university, and concentrate on my studies and researches, and follow the teaching programs arranged by the university.
4. 遵守学校的规定交纳各项费用 ;
I will pay the fees as outlined in the regulation.
5. 如违反上述保证而受到中国法律、法规或校纪、校规的惩处,我愿意接受相应的处罚 ;
If I am judged by the Chinese laws and decrees and the rules and regulations of the university as having violated any of the above, I will not lodge any appeal against the decision of concerned penalties.


申请人签字 /Signature: 日期 /Date: dd mm yy
(无此签名,申请无效/The application is invalid without the applicant's signature
邮寄地址:
中国广东省广州市沙太南路1023号
南方医科大学国际教育学院
邮政编码:510515
电话:86-20-61648385, 86-20-61648587
传真:86-20-61648385
电子邮箱:studysmu@smu.edu.cn
户名:南方医科大学
开户行:中国银行广州市分行白云支行同和分理处
帐号:635357761115
Mailing Address:
School of International Education
Southern Medical University
Guangzhou 510515, China
Tel:86-20-61648385, 86-20-61648587
Fax:86-20-61648385
E-mail:studysmu@smu.edu.cn
Account:Southern Medical University
Bank:Tonghe Office,Baiyun Sub-branch,Guangzhou Branch,Bank of China
Account Number:635357761115