Application Form for International Students

Family Name: First Name:

Photo
Chinese Name: Gender:
Nationality: Marital Status:
Passport No. : Occupation:
Date of Birth: Place of Birth: Tel:
Email: Fax:
Highest Educational Level: Religion:
Postal Address:
Plan to study: from______________ to _________________

Accommadition: from_____________ to __________________

Do you need airport Transfer Service? Y / N ... If yes, flight details:
How long have you studied Chinese? Where:
Study Program to select: (check one)
Individual Chinese, Small Group Chinese, Business Internship or others
  For Individual Chinese: __________ of weeks and ____________ of lessons each week
For Small group:____________ of weeks
Business Internship: short term / long term (check one)
Preferred accommodation: single room (1) in dorm (2) homestay (3) hotel nearby
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: ++86-10-8237 2368; Tel: ++86-10-8237 3308or 8237 2368
Email:<> or < >
Postal Address: Suite C-5C, Keshi Office Building | Xin Xi Lu, Jia 28 Beijing, Haidan Shangdi, China 100085

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