外國留學(xué)生入學(xué)申請表（專業(yè)學(xué)習(xí)）ApplicationFormforAdmission(Degreeprogram)No.英文姓FamilyNameonPassport:英文名GivenNamesonPassport:照片Photo中文姓名ChineseName:性別Gender□男/M□女/F婚姻狀況MaritalStatus:□已婚/Married□未婚/Single出生日期DateofBirth:年/Yr.月/Mo.日/Date出生地點PlaceofBirth:國籍Nationality:護(hù)照號碼PassportNo:護(hù)照有效期PassportValidUntil:年/Yr.月/Mo.日/Date簽證類型TypeofVisa宗教Religion電子郵件E-mailAddress:職業(yè)Occupation:工作或?qū)W習(xí)單位EmployerorSchoolAffiliated:海外地址Addressoverseas:街道Street________________________________________________________城市City______________________國家Country_______________________郵編Zipcode_____________電話PhoneNumber____________________郵寄地址（若與上述地址不同）MailingAddress(ifdifferentfromabove)：街道Street________________________________________________________城市City______________________國家Country________________________郵編Zipcode_____________電話PhoneNumber___________________申請類別Applyingas:本科生Undergraduate□碩士研究生MasterStudent□來西安外國語大學(xué)學(xué)習(xí)的專業(yè)Majoryouapplyfor:第一志愿1stChoice第二志愿2ndChoice留學(xué)期限年月至年月EnrollmentfromYrMotoYrMo學(xué)習(xí)經(jīng)歷EducationBackground:(fromhighschool)學(xué)校名稱School/Institutionattend專業(yè)Major開始時間（月/年）From:(mo/yr)結(jié)束時間（月/年）To:(mo/yr)所獲學(xué)位Nameofqualification如何了解到西外大?Howdidyoulearnaboutourprograms?□親友RelativesorFriends□網(wǎng)絡(luò)Internet□報刊媒體Newspapers_____________□推薦單位Recommendedbyanagent______________

□其他Other____________經(jīng)費來源TypeofSponsorship:自費Self-supporting□外國政府獎學(xué)金ForeignGovernmentScholarship□交流生Exchangeprogram□其他Other□漢語水平ChineseProficiency:舊HSK_____級；新HSK_____級_____分漢語言本科生插班申請F(tuán)orstudentswhoapplyforChineselanguageundergraduateprogramonly□轉(zhuǎn)學(xué)證明TransferCertification申請專業(yè)：漢語言ChineseLanguageandLiterature□漢語國際教育TeachingChinesetoSpeakersofOtherLanguages(TCSL)

□申請插入年級：春季學(xué)期一年級下□二年級下□秋季學(xué)期二年級上□三年級上□插班考試時間：申請人保證：Iherebyaffirmthat:上述各項中所提供的情況是真實無誤的；Alltheinformationgiveninthisformistrueandcorrect;在中國學(xué)習(xí)期間將遵守中國政府的法律和學(xué)校的規(guī)章制度；IshallabidebythelawsofthegovernmentofP.R.ChinaandtheregulationsoftheUniversity申請人簽字：日期：Applicant’ssignature:Date:請核對是否已隨申請表附上下述材料：Checkthatyouhaveattached:□經(jīng)公證的學(xué)歷證書Certifiedcopiesofyouracademicqualifications□學(xué)習(xí)成績單Certifiedtranscriptrelated□護(hù)照復(fù)印件CopyofyourPassport□HSK證書HSKcertificateifrequired部分國家學(xué)生需提供無犯罪記錄證明，翻譯成中文，并由中國大使館公證。詳情請咨詢留學(xué)生招生辦公室:Somenationsneedtosubmitthe

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fromthelocalpolicestation.PleasetranslateitintoChinese,anditshouldbenotarized.Fordetails,pleasecontacttheAdmissionsOffice:Tel-mail:xisuadmission@163.comadmission@InternationalStudentsOfficeXi’anInternationalStudiesUniversityNo.437Chang’anNanlu,Shaanxi,C