文档介绍：陕西省西安市友谊西路127号
国际教育学院邮编: 710072
127 YouYi Xilu, Xi’an, Shaanxi, China
International College 710072 TEL:+86-29-88494381 FAX:+86-29-88491544

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******@nwpu.
西北工业大学外国留学生学习申请表
FOREIGNER’S APPLICATION FORM FOR ADMISSION TO STUDY IN
NORTHWESTERN POLYTECHNICAL UNIVERSITY

注/Notes: 请申请人用中文或英文印刷体填写,填写时请用钢笔或签字笔。
This form is to pleted in block letter with pen by the applicants in Chinese or English.
护照用名
/Name in passport
姓/Family name
中文名/ Chinese name
照片
/Photograph
(Passport Size)
名/Given name
国籍
/Nationality
护照号码
/Passport No.
出生日期
/Date of birth
年月日
/year /month /date
男□Male
女□Female
已婚□Married
未婚□Single
出生地点
/Place of birth
语言/language
最后学历/ Highest education level
职业或身份/Occupation

工作或学习单位/Employer or school affiliated.

本国通讯地址/ Permanent mailing address in home country:

电话/Tel: E-mail: 传真/Fax:
目前通讯地址/Current address if different from above:
电话/Tel: E-mail: 传真/Fax:
家庭主要成员/Family members
姓名/ Name 关系/ Relation 电话和传真/ Tel. & Fax
本人简历(从高中开始)/Curriculum vitae(Starting from high school)
单位或毕业院校时间(年月—年月) 职务
/previous and current education & employer /years attended (from/to) /Position
申请学习时间
Study duration
从/from 年/Y 月/M 日/D 到/to 年/Y 月/M 日/D
现有汉语水平/Check the appropriate box to indicate the number of Chinese words you know.
□ None □ about 200 □ about 600 □ about 1000 □ over 2000
申请学习类别/Program applied for