浙江工商大学外国留学生入学申请表（语言生专用）

Application for Chinese Language Students to Zhejiang Gongshang University

姓 Family Name	名 Given Names	性别 Gender	照片 photo
国 籍 Nationality	中文名 Name In Chinese(If there is one)
护照号码 Passport No.	宗教信仰 Religion	婚姻状况 Marital Status
出生日期 Date of Birth	年 月 日 yy mm dd	出生地点 Place of Birth
最高学历 Highest education	职业Occupation	来华留学类别 Categories of students	长期生 / Long-term student □ 短期生 / Short-term student □ 交换生 / Exchange student □
本国永久通讯地址和电话 / Permanent Home Country Address &Tel
在华事务联系人或机构的姓名、地址和电话 Name, address and telephone number of the person or agency to act on your behalf in China
录取通知书邮寄地址和电话 / Address to Receive Admission Documents &Tel
电子邮件E-mail	手机号码Cell phone No.
教工路校区 Jiaogong Road Campus □	自行解决住宿 No accommodation provided (Arranged by myself)
下沙校区 Xiasha Campus □	对住宿要求 Accommodation Requirement	双人间 Double Room (Arranged by school) □ 单人间 Single Room (Arranged by school) □ 自行解决 Off-campus (Arranged by myself) □
预计学习期限： Study Duration:	自 年 月 日 至 年 月 日 From Year Month Day to Year Month Day
现汉语水平Present Chinese Level	好/Good □ 较好/Fair □ 一般/Passable □ 不会/None □
学习汉语时间Time of learning Chinese	2 Years □ 1.5 Years □ 1 Year □ 0.5 Year □ Never □
是否患有下列疾病？ Do you have any of the following diseases?	躁狂症Manic Paychosis □ 幻觉症 Hallucinatory □ 艾滋病 AIDS □ 妄想症Paranoid Psychosis □ 病毒性肝炎 Viral hepatitis □ 否No □
申请人保证：1.上述各项中所提供的情况是真实无误的； 2.在中国学习期间遵守中国政府的法律和学校的规章制度，尊重中国的风俗习惯。 I hereby affirm that: 1. All the information above is true and correct; materials provided are genuine and reliable; 2. During my study, I shall abide by the laws and decrees of the Chinese Government, and respect customs of Chinese society. 3. During my study in Zhejiang Gongshang University, I shall abide all the rules and regulations of the university, 申请人签名： 日期： 年 月 日 Applicant’s Signature Date: yy mm dd (无此签名，申请无效/The application is invalid without signature)