ࡱ> kmj[ RFbjbj2Rΐΐ  ...8f4.Id&&&&&ZZZ#I%I%I%I%I%I%I$\LN\IIiZZII&&4Iv&&#I#IBH&/.^GF<II0IF4ZOUZOxHZOHXZL6,yZZZIIIIZZZIZOZZZZZZZZZ : NSSybf[b egNSYuf[ueQf[3uh NORTH CHINA INSTITUTE OF SCIENCE AND TECHNOLOGY APPLICATION FORM FOR INTERNATIONAL STUDENTS `w,ghvlaNyTQkXQ NRTy3uhS YpSO(u 0/ Please read the IMPORTANT NOTES carefully before filling out the Form (The Form can be copied). Y/Family name  T/Given name -Ne T/Chinese name gq Gr Photo V M| /NationalityQu0Wp /Place of birthQueg /Date of birth t^/year g/month e/date7u%Male sY%Female]ZZ%Married *gZZ%SinglebgqSx /Passport No. [Ye /ReligiongTf[S/Previous educationsLN/Occupation]\Obf[`NUSMO/Employer or Institute Affiliated:8lENT|0W@W/Permanent mailing address: 5u݋/Tel: Ow/Fax: E-mail:[^OO@WT5u݋/Home Add. & Telf[`NgP/Intended duration at NCIST N/From t^/year g/month e/date 0R/to t^/year g/month e/dates gIl4ls^/Present level of mandarin0Check the appropriate box to indicate the number of Chinese words you know. A None B about 800 C about 1500 D about 2500 E over 3500  f[u{|+R/Program applied for: wgu/Short Term Programs %4-12*NhT/4-12weeks a$gu/Long Term Programs %u1/Chinese Language Student 1 Chinese intensive courses (20 weeks), %u2/Chinese Language Student 2 Chinese preliminary courses (40 weeks), %,gyu(f[6R4t^)/Bachelor (four years)  ,gN{S/Curriculum vitae USMO et^g  t^g LR /previous and current education & employer /years attended(from/to) /Position [^;NbXT/Family members Y T/ Name sQ|/ Relation 5u݋T Ow/ Tel. & Fax  "$      ( @ B F H L N Z \ ^ t v ſxxxxxxpxgxxph\qh;)@h;)CJKH h\qh;)h\qh;)o( h;)5PJh;) h;)CJh;)OJQJo(h;)5PJo( h;)o(h;)5CJ o( h;)5CJ h;)CJ h6#CJ OJPJQJo(h;)5@8CJ4PJh;)5@8CJ4PJo(h;)@dCJHPJh6#@PCJHPJo(($    B D F P \ $d$Ifa$ $d$1$Ifa$ d$1$If d$Ifd0YD`$da$$da$$da$$da$\ ^ t bYYMAAY $d$Ifa$ $d$Ifa$ d$Ifkd$$Ifl40\A 3 "(A   04 lalf4 A55 $d$Ifa$kd:$$Ifl4r'3 "('|  04 lalf4 $d$1$Ifa$     ( * . 0 : > @ J P R ^ ` b d h j z ~   ( * < J |    N P ܽh\qh6#o(h@&^CJKHh\qh@&^o(h!CJKH h\qh!h\qh!o(h;)CJKHh\qh;)OJQJo( h\qh;)h\qh;)o(D < ` b d z @2 $d$1$Ifa$kd$$Ifl4\'3 "('  04 lalf4 $d$1$Ifa$ d$1$If d$Ifz $d$1$Ifa$ $d$1$Ifa$ $d$Ifa$ d$If   & ( OF:.: $d$Ifa$ $d $Ifa$ d$Ifkd$$Ifl4r' 3 "('N  04 lalf4( * ~ bVG$d $Ifa$gd@&^ d $Ifgd&kd$$Ifl4\ 3( N bR 04 lalf4 N v d$If d$IfvkdI$$Ifl40H(H04 lalf4N P .% d$Ifckd$$Ifl4l((04 lalf4 d$Ifckd($$Ifl4((04 lalf4 ,BDZ\tx^`fv|(*2X^`bߩxoh6#OJQJo(hEOJQJo(h;)5OJQJh;)5OJQJo(h;)5CJOJQJo( h;)5CJh;)5CJo(h\qh;)OJQJh\qh;)ehrh\qh;)@o(h\qh;)@h;)CJKHh\qh;)>*o(h\qh;)o( h\qh;)) ^ d$Ifckdv$$Ifl4_((04 lalf4 dxx$If*^`Rvvvm``` d$If` d$If d$If` & Fd$If dP$Ifckd $$Ifl4((04 lalf4 bdfjlnpPR\^468:@Jl>FzǼyh;)CJKH h6#o(hhB*o(phFFFhB*phFFF ho(h;) h;)o(hEOJQJo(h;)5OJQJh;)5OJQJo(h;)5CJOJQJo(h;)OJQJh6#B*phFFFh;)OJQJo(h6#OJQJo(hOJQJo(/68:@lnyqf]]PP 7d$If`7 d$If d($If$da$ckd $$Ifl4w((04 lalf4d<$If` 4d$IfWDd` mn  ,2<p^b<<<<< ====,=====$>(>2>r>>>>X?Z?@@N@@@@AALANATAdAAAAhBjBrB~BBBBBBBBB(C\CCDFPFFF h;)5CJh"B95CJo(h;)5CJo( h;)>* h"B9o(Uh;)CJKH h;)o(h;)Pn 2,`b<uuu 7d$If`7 d$If d$If[kdk $$Ifl ((04 lal 7d$If`7 (WNSgvNRT|N/Your reference in case of emergency during your stay at NCIST. Y T/ Name: VM|/ Nationality: N,gNsQ|/Relationship to the applicant: 8lEN0W@W/Address: USMO/ Name of your employer: 5u݋/Tel: (OO[/home) (RlQ[/office) Ow/ Fax: E-mail: b?aa0RNSSybf[bf[`N (W!hf[`NgOZP0R NRTy u[-NNSNlqQTVl_0 NNNf[`NvvNYv;mR0 u[f[!hvTyĉz6R^ RRf[`N0 ce4~f[!hĉ[vf[u^4~vTy9(u0 I am willing to study at North China Institute of Science and Technology. I pledge the following terms during my study: 1. I will abide by the laws of the People s Republic of China. 2. I will not engage in activities bearing no relation with my academic pursuit in China. 3. I will study industriously and observe all rules and regulations of the University. 4. I will pay all expenses on time. f[u,gN~{W[/Signature of the applicant: eg/ Date:     <<==>X?@@AhB ld$If^l d($If[kd $$Ifl8((04 lal hBjBBBBB*CDDNEEDFvvvv ld$If^l($If & Fd$If dP$If[kd $$IflV((04 lal DFFFFFFFFFFFFFF~ywywywywwgd$/gd5[kd$ $$Ifl((04 lal ld$If^lldx$IfYD2^l FFFFFFFFFFFFFFhijhiUh;)CJKH h;)CJo(h;) FFgd50&P 1F. 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