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中国330031 江西省南�大学前湖校区                                                              此处勿需填写(Do not write in this space)

Office of International Students, International Exchange College, Nanchang University,

Nanchang, Jiangxi 330031, China

Tel: +86-791-83968702В В В В В В В Fax: +86-791-83969196

E-mail: study@ncu.edu.cn

 

 

е¤–е›Ѕз•™е­¦з”џе…Ґе­¦з”іиЇ·иЎЁ

Application Form for International Students

l 请用中文�英文填写此表/Please complete the form in Chinese or English.

l иЇ·з”Ёй»‘и‰Іж?–и“ќи‰Із­ѕе­—з”填写此表/Please complete the form in marker pens.

1.申请人情况/Personal Information

姓名

Name

英文姓名�以护照用名为准)

In English (Same as in your Passport)

姓/Family name:Mamarajabov

з…§

片

Photo

еђЌ/Given nameпјљNurulla

中文姓名:

In Chinese: еЌљж–‡

жЂ§е?«/ Gender: Male

е›Ѕз±Ќ/ Nationality:Uzbekistan

婚姻状况/ Marital Status: Single

 

护照号码Passport No. FA0323552                      有�期至/Valid Until                             2029年 05�  31日

Yr.В В В В В В В В Mon.В В В В В В В Date

出生日期                       1995年  12�     01日

Date of BirthВ В В В В В В В В В В В В В В В В В В В В Yr.В В В В В В В В Mon.В В В В В В В Date

出生地  UZBEKISTAN  国 家 SURKHANDARYA 城市

Place of BirthВ В В В В В В В В В В В В В В В В В В В В В CountryВ В В В В В В В В В В В В В В В В City

жњЂеђЋе­¦еЋ†

Education level: High (Bachelor degree)

е®—ж•™дїЎд»°

Religion: Muslim

жЇЌиЇ­

Native language: Uzbek

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Employer or Institution AffiliatedпјљTashkent Agrarian University

иЃЊдёљ

Occupation: Forestry

з”µиЇќ/Telпјљ+86 18270827211

дј зњџ/Faxпјљ-

Emailпјљnurullabek1995@mail.ru

 

录取通知书邮寄地址/Address for correspondence

(Please inform the NCU International Student Division for any change of this address)

江西省南�市新建区红角洲管理处南�市学府大道1299号南�大学医学院1栋

 

 

ж°ёд№…йЂљдїЎењ°еќЂ /Permanent Address: Yangibozor neighbourhood,Shurchi district,SURKHANDARYA province

特长及�好/Special skills or interests:learning foreign languages

               


  

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