Application Form for International Students
| Family Name: | Given Name: |
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| Chinese Name: | Sex: | |
| Nationality: | Marital Status: | |
| Passport No. : | Occupation: | |
| Date of Birth: | Place of Birth: | Tel: |
| Email: | Fax: | |
| Highest Educational Level: | Religion: | |
| Postal Address: | ||
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Expected Date of Arrival: |
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| If you register in a specialized program, the code of the course If you register in general language program, the number of lessens per week: |
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| How long have you studied Chinese? | Where: | |
| Preferred accommodation:double shared in dorm/single room in dorm/on campus hotel | ||
| 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: |
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To: Global Exchange Education Center: |
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