哈尔滨工业大学外国留学生汉语学习申请表
Application Form to Chinese Language Learners in Harbin Institute of Technology
地 址：中国 黑龙江省哈尔滨市南岗区司令街11号 哈尔滨工业大学留学生中心
Address：International Student Centre, Harbin Institute of Technology
No.11 Siling Street Nangang District, Harbin 150001, P. R. China
电话/Tel： 0086-451-86402455 传真/Fax：0086-451-86417792
电子邮件/E-mail: StudyatHIT@hit.edu.cn StudyatHIT@gmail.com
填表须知：此表除签名部分需手写以外，应尽量打字书写；如无法打字，请保证手写体字迹清晰。
Instruction: This application form has to be filled out in typing except the signature; if you are fail to type, please make sure your handwriting is clear enough.
1.护照用名/Full Name /
姓/Surname 名/Given Name
2.中文姓名/Chinese Name /
姓/Surname 名/Given Name
3.国籍/Country of Citizenship4.婚姻状况/Marital Status
5.护照号码/Passport No.6.性别/Gender □男/Male □女/Female 7.出生日期/Date of Birth//8.出生地/Place of Birth(Country)
9.本国通信地址/Permanent Foreign Address
电话/Telephone邮箱/E-mail 中国通信地址/Address in China电话/Telephone
10.学习期限/Duration of Study 自/From 至/To
11.住宿/Accommodation Requirement□校内公寓/HIT Dorm □校外自理/Settled by myself
12.最后学历/Highest Academic Degree
□高中/High School □大学在读/In College □大学毕业/Graduate
□硕士/Master’s Degree □博士/Doctor’s Degree □其他/Others
13. 您是如何获知哈尔滨工业大学留学生中心的相关信息的？
How did you learn about HIT’s International Student Center?
申请人保证/ I hereby Affirm：
我确认上述信息和提供的文件真实无误。本人确知，如果提供了任何不实材料都会导致失去申请和进入哈尔滨工业大学学习的资格。并保证入学后，在中国学习期间遵守中国政府的法律和学校的规章制度。
To the best of my knowledge, the information in this application is accurate and complete. If admitted, I agree to comply with the university rules and regulations. Incomplete documentation or falsification of credentials may result in cancellation of admission to the university.
申请人签字/Signature日期/Date
注意：请在上传本申请表的同时，上传您的护照扫描件。请您近期查看您的电子邮箱，我们会尽快给予您回复。
Attention: Please upload this application form with your copy of passport. Please check your e-mail box for the reply.
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