Application Form for International Students

Family Name: Given Name:

Photo
Chinese Name: Sex:
Nationality: Marital Status:
Passport No. : Occupation:
Date of Birth: Place of Birth: Tel:
Email: Fax:
Highest Educational Level: Religion:
Postal Address:

Expected Date of Arrival:
 Expected Date of Departure:

If you register in a specialized program, the name of it:


If you register in general language program, the number of lessens per week:
How long have you studied Chinese? Where:
Preferred accommodation:double (1)single room in dorm/(2)homestay/ (3) single room in resident area
Where did you first hear about Global Exchange Education Center?
Name of agent or contact (If any) :
Email:
 Fax: Tel:
I hereby affirm that:all the information given in this form is true and correct. I agree to abide by the terms on your in the Feature and Condition Form. Signature: Date:

To: Global Exchange Education Center:
Web Site: <https://glexchange.net>
Fax: ++86-10-6231 0191; Tel: ++86-10-6234 7219 or 6231 0191
Email:<[email protected]> or <[email protected] >
Postal Address: Suite 311, Huikai Office Building, No. 35, Zhi Xin Lu, Er Li ZhuangXiao Qu, Haidian District, Beijing, 100083 P. R. China

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