姓名Name

中文

Chinese Name

照片

Photo

英文

English Name

姓/Family Name：

名/Given Name：

性别Gender

国籍

Citizenship

宗教信仰

Religion

出生日期Date of Birth

年/Y 月/M 日/D

出生地点

Place of Birth

护照Passport

号码Number

发照机关Passport Agency

有效期限 Valid from 年/Y 月/M 日/ D to 年/Y 月/M 日/D

毕业学校

Graduation School

毕业专业

Specialty

最后学历/学位

Previous education /degree

婚姻状况

Marital Status

职业Occupation

现在工作/学习单位及地址

Current Employer and the Address

海外通讯地址

Postal Address

at Home Country

海外联系电话

Contact Tel. at Home County

传真Fax:

电子信箱

E-mail

在华事务担保人和电话

Guarantor and his/her tel. in China

发生紧急情况可联系的人及其电话

Contact person and his/her phone in case of emergency

在南宁联系地址和电话

Address & Tel in Nanning

报考志愿(Courses applied for)： 语言生Language Learning 本科生Undergraduate 研究生Postgraduate

志愿专业名称(Title of the courses applied for Undergraduate and Postgraduate )

参加过HSK考试，请说明通过的考试级别/HSK test level if you have taken this test:

level 4 (Scores) level 5 (Scores) level 6 (Scores) NONE

本人简历/Curriculum vitae

单位 时间（年月——年月） 职务

previous and current education & employer years attended(from/to) Position

姓名

Nam

年龄

Age

职业、单位和联系电话

Position & Affiliation and phone number

配偶

Spouse

父亲

Father

母亲

Mother

我保证以上所填情况属实。I declare that the information I have given in this application is true and correct.

我申请到广西师范学院学习，在校学习期间保证做到下列各项：

1.遵守中华人民共和国法律。

2.不从事学习目的以外的活动。

3.遵守学校的各项规章制度，努力学习。

4.按时缴纳学校规定的员工应该缴纳的各项费用。

I am willing to study at Guangxi Teacher Education University. I pledge the following terms during my study:

1. I will abide by the laws of the People’s Republic of China.

2. I will not engage in activities bearing no relation with my academic pursuit in China.

3. I will study industriously and observe all rules and regulations of the University.

4. I will pay all expenses on time.

Signature: Date: