姓Surname/Family Name:

名First Name, Second Name:

性别Sex:

照片Photo

(3cm*4cm)

国籍Nationality:

出生地 Place of Birth

护照号码Passport Number:

护照有效期至 Date of Passport Expiry:

出生日期Date of Birth:(DD-MM-YYYY)

宗教信仰Religion:

婚姻状况Marital Status:

个人特长Personal Talent:

当前职业Current Occupation:

学习或工作单位Institution or Employer:

家庭信息

Family Information

父亲姓名 Father’s name:

职业Occupation:

联系方式Contact details:

母亲姓名 Mother’s name:

职业Occupation:

联系方式Contact details:

家庭经济收入

Family Finance Status

家庭地址Family Address:

邮政编码Zipcode:

联系电话Contact Tel:

 电子邮箱（必填）Applicant’s Contact e-mail (required):

邮寄地址 Mailing Address (Required for posting admission letter):

学习类别Categories of International Students (please place a  ü in the appropriate box below)

1. 汉语进修生Mandarin Chinese learner     □                     2. 本科生Undergraduate                              □

3.硕士研究生 Master Candidate                   □                     4. 博士研究生Doctor Candidate                  □

5. 高级进修生General Advanced Student   □                          

专业名称COURSE. Please refer to our website http://lxsb.csuft.edu.cn for more information.

专业名称Title of Programme:

学习期限Proposed study date from                              (DD-MM-YYYY) to                             (DD-MM-YYYY)       

时间From date

to date

学校School / Institution

attended

成绩单Transcript

(Official copy is required)

学习专业 Major/Programme

studied

毕业时间Date of

graduation  

你的最高学历教育阶段的授课语言是汉语还是英语？Is the teaching medium Chinese or English in your highest education?         汉语CHINESE    □   英语ENGLISH      □                   

如果既不是汉语也不是英语，请提供HSK或IELTS、TOEFL或同等水平的语言证明。If NOT Chinese or English, give details of the HSK or IELTS, TOEFL certificate or equivalent proof:

考试名称Test Name

考试成绩Test Score

考试时间Date Test Taken

工作单位Employer (with dates)

工作时间Period of Employment

主要职责Main Duties

Please indicate how you intend to finance your studies at CSUFT (please place a ü in the appropriate box below):

□ 自费Self funding 

□ 部分奖学金Self funding with partial scholarship（please sign and date statement below)

Name of funding body :………………………………         Amount of partial scholarship award: ………………………

□ 第三方资助Third party funding, e.g. scholarship, employer, sponsor, research council

Name of funding body: ………………………………   

如果想要获得beat365官方入口奖学金，请尽量多地提供材料以证明你的优秀If funding by CSUFT, please provide documents as more as possible showing your excellence.

在此，我郑重声明，上述内容真实有效，否则我愿意承担一切后果。I hereby confirm that the information I have provided on this form is true, complete and accurate and that no information material to this application has been omitted.

Signature: ………………………………………… …………….  Date: ………………………………………………….