东华大学外国留学生(汉语生)入学登记表

申请编号Application No.
上海海洋大学来华交换生入学申请表
APPLICATION FORM FOR INCOMING EXCHANGE STUDENT (2018 Autumn)
请在电脑上用中文或英文清晰、完整地填写，打印后签字、扫描。

Please fill in the blanks in Chinese or English on computer, completely and clearly, then print it out, sign and scan. 护照姓名/ Passport Name: Surname:Given Name:
中文姓名/ Chinese Name:
国籍/ Nationality:
性别/ Sex: □男/Male □女/Female
出生日期/ Birth Date:年Yr. 月Mo. 日D.出生地/ City & Country of Birth:
婚姻状况/ Marital Status: □未婚/ Single □已婚/ Married 宗教信仰/ Religion:
护照号码/ Passport No:
护照有效期/ Passport Validity:年Yr. 月Mo. 日D. 电子邮件/ Email Address：
在华事务担保人及联系方式/ Name & Tel. Number of Guarantor in China:
本国家庭联系地址与电话/ Home Telephone & Address in Your Own Country：Tel.:(with country’s code)
Complete Add.:
所在高校/ My Home University:
所在高校院系/The Faculty & Department I enrolled is:
专业/Now I am Majored in (the program’s name) :
水平学历My Current Degree Level：
□本科生I’m a bachelor student, I started it from 年Yr. 月Mo. and is expected to graduate in 年Yr. 月Mo. 语言能力/ My Language Proficiency:
汉语/Chinese: □不会/ None □差/Poor □一般/Fair □较好/Good □很好/Excellent □HSK证书/ HSK Level
英语/English: □不会/ None □差/Poor □一般/Fair □较好/Good □很好/Excellent □母语/ Mother tongue
母语/Mother tongue: 其他语言/Other languages：
交流时间/Exchange Period (refer to the fact sheet)：年Yr. 月Mo. 日D. ~~ 年Yr. 月Mo. 日D. Please read the factsheet first and then write the right date according to the courses you select, especially the Chinese language program.
是否申请留学生公寓/apply for International Student Apartment？
□否/No □是/Yes (Type B, 双人间/double room)
预计入住时间/Expected Check-in Date：年Yr. 月Mo. 日D.
课程预选/ Preliminary course selection
请随上表同时递交/ Please submit with the above form the following application materials
其他申请材料：
1清晰的有效护照复印件：包括姓名、照片、生日、出生地、护照签发日和到期日等信息
2JPG格式的证件照片电子版（近期照片，正面免冠，浅色背景）
3在学证明：所在院校出具并签字盖章（英文或中文）
4学习成绩单：所在院校出具并签字盖章（英文或中文）
Other Application Materials:
1 A clear copy of your valid passport (with your name, photo, birth date, place of birth, date of issue, date of expiry)
2Electronic ID photo in .jpg format. (recently taken, bareheaded, full-face, against the light-colored background)
3Original Enrollment Certificate(English/Chinese) at your home institute (with the official signature or stamp)
4Original Transcript of Records (English/Chinese) obtained at your home institute (with the official signature or stamp)
我保证/ I hereby affirm that:
1. 以上各项中所提供的情况真实无误/ All the information provided above is true and correct;
2. 在华期间，遵守中国的法律法规，不从事与本人来华留学身份不相符合的活动/ During my stay in China, I shall abide by the laws and decrees of Chinese government, and will not participate in any activities that are inappropriate to the capacity as a student;
3. 在学期间，遵守学校的规章制度，尊重学校的教学安排/ During my study at SHOU, I shall observe the rules and regulations of the university, and will follow the teaching arrangement made by the university;
4. 因提供信息错误、不清晰或不完整而造成的任何后果由我本人承担。

/I will take all the responsibilities for any result caused by wrong, incomplete or unclear information in this form.
学生签名/Student Signature:
申请时间/Application Date：年Yr. 月Mo. 日D.。