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Application Form for Abroad Student

Personal Information
Full Name as Your Passport Family : Middle : Given :
Please Send your Picture(one inch size) to tcmtreatments@hotmail.com and also please mark your name in the email
Country of citizenship: Gender: men femail
Date of birth: Place of birth:
Passport No.: Valid until:
Religion: Marital Status:
Occupation: Institution/Employer:
Tel & Cell phone: E-mail:
Home Country Address:
Zip Code: Tel/Fax:
Educational background(From Middle School)
Institutions: Field of study: No. of Diploma: Years attended (from/to): Diploma received:
Employment Record
Institutions: Field of study: No. of Diploma: Years attended (from/to):
Language proficiency(Good/Average/None)
Chinese:
HSK: Junior Intermediate Senior ; BCT:
English:  
Other:
Academic Preferences(what specialty do you study)

Duration of study for specialized
From To
Guarantor's name: Tel/Fax:
Relationship with the applicant: E-mail:
Address: Guarantor's signature :

I hereby affirm that:
1) All information and materials provided here are true and correct.
2)During my stay in China, I shall abide by the laws and decrees of the Chinese government, and will not participate in any activities which are deemed to be adverse to the social order in China and are inappropriate to the capacity as a student;
3)During my study in China, I shall observe the rules and regulations of the university, and will concentrate on my studies and researches, and will follow the teaching programs provided by the university.

 
Applicant’s Signature Date:
 
 

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