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Application Form for the credit transfer student program scholarship of Dalian Jiaotong University



 

Attachment 1

Application Form for the credit transfer student program scholarship of Dalian Jiaotong University

Personal Informaton

Service Number:10150

Organization Name:

Dalian Jiaotong University

photograph

Surname:

 

Given name:

Name in Chinese

 

Gender:

Date of Birth:

 

Marriage Status

 

Nationality:  

Native language:

 

Passport Number:

Passport validity

Birth area or country:

 

 

Place /city of birth:

Religious beliefs  

Permanent contact telephone number:

Permanent contact fax number:

Permanent contact E-mail:

 

Permanent contact living address:

 

 

Current contact telephone number:

 

 

Current contact fax number:

Current contact E-mail:

Current contact living address:

 

 

           

Educational background and working experience

The Highest Degree

School:

 

School time:   Major:  

Type of diploma and degree certificate:

 

The other degree

School:

 

School time:     Major:  

Type of diploma and degree certificate:

 

Language ability and Study plan

Chinese Level:   HSK test grade and other Chinese test scores:  
English Level:   English proficiency certificate:
Type of Application: Regular Student Disciplines:
The teaching language:   Major:
Study Period:   Whether study in China before
The learning School in China   The learning period in China

Whether have been awarded a scholarship to study in China:

 

University in China:   Study period in China:

Contacts or institutions and relatives in China

Contact person or Institution in China

 

Telephone number:  
E-mail:  

Fax number:

 

Address:

 

Spouse's name:

 

Spouse's age:                      

Spouse occupation:

Father’s name:

 

Father’s age:  

Father’s occupation:

Mother’s name

 

Mother’s age:

Mother’s occupation:

 

     

Applicant's guarantee:

1. The contents and materials provided in the application form are true and correct;

2. During the study period, abide by the laws and regulations of China, do not engage in any activities that endanger the social order of the Chinese society, and study the activities that are not in conformity with the people who are in China;

3. To obey the study and guidance teachers arranged by the school in China, without any reason to require the replacement of major or teachers;

4. During the study period, I will abide by the school rules and regulations, devote all my efforts to study and research, and respect the arrangements made by the school.

5. If I finishedmy studies by the prescribed period, I will return to my own country on time and stay in China without any reason.

6. I am willing to accept the suspension or cancellation of the scholarship and other corresponding penalties if I violate the above guarantee and be punished by Chinese laws, regulations and rules and regulations.

 

 

Application’s signature: 

Application date:

 



  

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