Please complete the form in English or Chinese. Please write legibly in black or blue ink or use a PC. Please indicate withüin the boxes provided.

For office use only

Beijing Information Science & Technology University (BISTU)

Application Form for International Students

北京信息科技大学留学生入学申请表

请申请人使用中文或英文填写表格。请使用蓝色或黑色签字或电脑填写。请在所选框内划ü表示。

I. Personal Information

个人信息

1. Name (as on passport)姓名

2. Passport Number护照号

3. Passport Valid Until护照有效期

MM DD YYYY

4. Date of Birth出生日期

MM DD YYYY

/ /

5. o Maleo Female

6. þ Single o Married

7. Place of Birth (City, Country)出生地

8. Nationality 国籍

9. Religion宗教信仰

10. Permanent or Home Address当前或家庭住址

11. Telephone No.电话

12. Email Address电子邮箱

13. Chinese Language Proficiency汉语能力

o Excellent很好o Good好 o Fair一般 o Poor差þ None不会

HSK score (if applicable):

14. English Language Proficiency英语能力

o Excellent很好þ Good好 o Fair一般 o Poor差o None不会

TOEFL, TOEIC or IELTS score (if applicable):

15. Other Languages其他语言

Please list any other languages you know, including your primary language, and your proficiency.

II. Educational Background

教育背景

Name and Address of School

Dates Attended

(From - To)

Diploma, Degree, or Certificate

GPA

Senior High School高中

College, University, Other大学或其他

III. Desired Program 预期项目
16. Level Sought水平寻求	o 1 Term Language Study o 4-Year Bachelor Degree o 1 Year Language Study o2.5-Year Master’s Degree o 2 Year Language Studyo Other (Please specify) __________
17. Desired Major (BA/MA students only)预期专业	International Trade
18. Start Date开始日期	þ Autumn Term (September)o Spring Term (March) Year: 2016

IV. References 推荐信
School or Agency who referred you to BISTU (if any)推荐院校或机构	Name:OULU Address: Beijing, Chaoyang District Guangshunbeidajie 122, Bo Tai GuoJi A - 505 Email address and phone number:chinabtour4@yandex.ru
Please provide the contact information for two references as listed below. One must be a teacher or school administrator who knows you well and is familiar with your academic performance. The other should be a teacher or other adult who knows you well. They must not be family members. 请提供获取两封推荐信的联系方式。其中一个必须是老师或着对你的学业情况很了解的管理人员，另一个要是老师或是以为很了解你的成年人，但他们绝对不能是你的家庭成员。
Reference 1 推荐信1	Name:
Reference 2 推荐信2	Name: