外国学者留学生申请表.doc

南京大学海外教育学院 Institute for International Students, Nanjing University 中国 南京市汉口路22号 210093 No.22 Hankou Road Nanjing China, 210093 Tel: 86-25- Fax: 86-25-3316747 E-mail: issd@ Http: // /hwxy 南 京 大 学 NANJING UNIVERSITY 外国学者留学生申请表 APPLICATION FORM FOR FOREIGN SCHOLARS AND STUDENTS 请申请人认真阅读本表第四页的注意事项后再填写下列诸项。 Please read CAREFULLY the IMPORTANT NOTES on page 4 before filling out the form. 个人简况/Personal information: 英文姓名(同护照用名)/Name in English (Same as in Passport): 姓/Family Name: 名/Given Name: 中文姓名/Name in Chinese: 出生日期/Date of Birth: 年/Year 月/Month 日/Day 出生地点/Place of Birth: 性别/Sex: 国籍/Nationality: 母语/Native Language: 宗教/Religion: 婚姻状况/Marital Status: 联系地址/Present Address (Mailing Address): 电话/Tel.: 传真/Fax: 电子信箱/E-mail: 永久地址/Permanent Address: 护照号码/Passport No: 有效期限/Term of Validity:自/From 至/To 受教育情况(填至申请日)/Educational Background (to the time of application): 学校 在校时间 主修专业 所获毕业证书及学位证书 Institutions Years Attended (from/to) Field of Study Certificate Obtained 工作经历/Work Experience: 工作单位 起止时间 从事工作 职务及职称 Employer Time (from/to) Work Engaged Posts Held