ࡱ> %` R^bjbjNN9,,%XXXX:df<f<f<8<L<[P>>">>>???#[%[%[%[%[%[%[$<^h`RI[]A??AAI[XX>>[~J~J~JAXR>>#[~JA#[~J~JrST"T>> ivf<H:'T/U[0[5T`If`T`T\?v!@T~Ju@D@E???I[I[hJ???[AAAAd%<d<4"6XXXXXX  Ye'Yf[NAmf[ueQf[3uh Application Form for Exchange Students Wishing to Study at Fudan University h1uf[!hkXQ/This is to be filled out by the university. {|+RNNIl9(u3uS3uN(u-NebenZi0WkXQN Ny v^SbpS0 NcSKbQ0 N:ykXQ l gvQ e 0Tbgq YpSNNwN0 Please print all the information requested. Handwriting is not acceptable. Please write None if not applicable. Submit this form together with photocopy of your valid passport photo page. bgq T Full Name with Middle Initial in English according your passportgqGr PHOTO-Ne T Chinese Name_{kXQ NǏ6*NIlW[0 This must be filled. (in no more than six characters)VM| Country of citizenship'`+R Gender% 7u Male % sY FemaleQueg Date of birtht^/yy g/mm e/ddQu0Wp Place of birthbgqSx Passport No.bgq gHeg Passport Valid untilt^/yy g/mm e/ddZZYrQ Marital Status[YeON ReligionLN Occupation]\OUSMO Univ./ EmployerKb:g Cell phone5uP[N E-mail[^OO@W Home Address?ex Zip Code5u݋/ Ow Tel/FaxO0W@W Mailing address6eNN Receiver?ex Zip Code5u݋/ Ow Tel/FaxcPUSMO Recommended by T|N Contact personT|0W@W Address5u݋/ Ow Tel/Faxf[`N~Sؚ-NwkXQ Educational backgroundFrom High School f[!h Ty Institutions(W!he Years attended (from/to);NONN Field of study@beQ Diploma received          R (u }Y N, NO ċN0 Language proficiencyGood/Average/None IlChinese HSK_______~ ; eHSK (%R~0%-N~0%ؚ~) __________ ; BCT____________EnglishTOEFL(score)________ GMAT_________ GRE_________ IELTS____________vQNOtherf[`NR Study Plan at Fudan (please click what you plan to study)Exchange students are mostly non-degree visiting students. Fudan University may take degree exchange students following the bilateral agreement between Fudan University and your home institution.3u{|+RCategoryNNbN Subject or field of studyc[Ye^Advisor f[MOu D E G R E E % UxXxvzu Double Master candidateNN/MajorxvzeTResearch field% ,gyu Double Bachelor candidateNN/Major Fh " $ L 6 H   " , 4 6 < H J L P ɇ}s}j}j}j}jsjh?5CJ\h?5CJ\o(h4c5CJ\o( h4cCJo(h!"hI 5CJ\h#_5CJ\o(h!"hI 5CJ\o( h4c5\h4c5\o(h4c5CJ\h4c5CJ\o( h4cCJ o( htCJ o( h4cCJ h4c5CJ PJ\o(ht5CJ PJ\o(' $ & , . 4 6 < > H J L 8 H d$If $d$Ifa$dgdI Ff7 dh$Ifdh$dha$ V\  ZQ d$IfkdB$$Ifl4F (;       0(    4 laf4p $d$Ifa$    $ > @ b h r | ".8TVXbrtx|"&0h4c5CJ\mHo(sHh#_5CJ\o(h#_h4c5CJ\aJh#_5CJ\aJo( h4cCJh4cCJOJQJo(h4c5CJ\h4c5CJ\o( h4cCJo(h4c5CJ\; fZZZ $d$Ifa$kdw$$Ifl4*F (;    0(    4 laf4p   fZZQZZBhd$IfWD`h d$If $d$Ifa$kd$$Ifl4;F (;    0(    4 laf4p   $ @ =11 $d$Ifa$kd$$Ifl49\ p(; J W  0(4 laf4p@ r | d$If $d$Ifa$d$IfWD` B66-6 d$If $d$Ifa$kd$$Ifl\p(r  W  0(4 lap ,.8'kd $$Ifl\p(r  W  0(4 lapd$IfWD` $d$Ifa$8VXbtv d$If $d$Ifa$vx~B66-6 d$If $d$Ifa$kd9 $$Ifl\p(r  W  0(4 lap*kdd $$Ifl4\p(r  W  0(4 laf4p d$If $d$Ifa$ $d$Ifa$"$?33* d$If $d$Ifa$kd $$Ifl4\p(r   W    0(4 laf4p$&0BDP`b{oi`oi` d$If$If $d$Ifa$kd $$Ifl40(r  }!    0(4 laf4p 0@BDP`dn">@DN\^`nrvz|"T`|DFP^hjn*,4@h4cCJmH o(sH h4c5\mH o(sH h4c5\h4c5\o(h4c5CJ\h4c5CJ\o( h4cCJo(h4c h4co(Ebdn?33* d$If $d$Ifa$kd$$Ifl4\4(r     O   0(4 laf4p{oofoofoofaFf. d$If $d$Ifa$kd\$$Ifl40(r  }!    0(4 laf4p "@B d$If $d$Ifa$BDN^`?33* d$If $d$Ifa$kd%$$Ifl4\p (r  j  t   0(4 laf4p`l|~*kd$$Ifl4\p (r  j  t   0(4 laf4p d$If $d$Ifa$"V`~skd$$Ifl4((     0(4 laf4p $d$Ifa$ 7." $d$Ifa$ d$Ifkd$$Ifl\  (;   | t  (0(4 lap(^R $d$Ifa$kdo$$Ifl\  (;   | t 0(4 la d$Ifg^R^^ $d$Ifa$ d$Ifkd$$Ifl\  (;   | t 0(4 lag^R^^ $d$Ifa$ d$Ifkd$$Ifl\  (;   | t 0(4 lag^R^^ $d$Ifa$ d$Ifkd$$Ifl\  (;   | t 0(4 lalg[ $d$Ifa$kd$$Ifl\  (;     |  t  0(4 lalnww d$If $d$Ifa$skd- $$Ifl4((     0(4 laf4p @BHJPR^x~ N^b|v0Fz|~ж{nhhB95CJ\o(h5CJ\o(h4c5CJ\hB95\o(hhB95B*\o(phhB*CJmHo(phsH$hhB9B*CJmHo(phsH h4c5\h4c5\o(h4cCJmH o(sH h4c5CJ\o( h4cCJo(h4cCJOJQJo(+Lh\MD d$Ifd$IfWDd` $d$Ifa$kd $$Ifl4F (I 6p   0(    4 laf4p LN^`h\S d$If $d$Ifa$kd!$$Ifl4F (I 6p   0(    4 laf4p `b{o $d$Ifa$kd"$$Ifl40(I  #   0(4 laf4p | d$IfgdB9skd#$$Ifl4((    0(4 laf4p |~ $d$Ifa$skd$$$Ifl4((    0(4 laf4p  O@@@@@@$d$$Ifa$gdkdc%$$Ifl4F !(   0(    4 laf4pyt   "2@Nbvz|~´qj`qSqjhh4cB*CJphh4c5CJ\o( h4cCJo(hh4cB*CJo(phhh4c5B*CJ\ph"hh..5B*CJ\o(ph"hh4c5B*CJ\o(phh5CJ\mHo(sHhB95CJ\o(hh5CJ\o(hhB95CJ\hhB95CJ\o(hh4c5CJ\o( "2bvx d$Ifgds^ d$If$d$$Ifa$gdxz|# $d$Ifa$kd&$$Ifl4\c !( G   0(4 l /   /  af4p(yt|~ d$If $d$Ifa$# $d$Ifa$kd($$Ifl4\c !( G   0(4 l /   /  af4p(yts^r$d$Ifa$gd d$Ifgds^ d$Ifrrrrr"r&r4r6r8rHrvrrrrrs.sFsVsvsxsssssssssLtVttxxqibxibixx h4c5\h4c5\o( hCJo( h4cCJo(h5CJ\o(h4ch5CJ\o(h4c5CJ\h4c5CJ\o( hB9CJo(UhhB9B*CJo(ph*hhB95B*CJ\mH o(phsH +hhB95B*CJPJ\mH phsH "hhB95B*CJ\o(ph& ^f[MOu N O N D E G R E E % ؚ~ۏOu Senior Advanced Student (=post-graduate level)NNMajor% nfۏOu General Advanced Student (=Undergraduate level)NNMajor% ۏOu Language studentNNMajorIl/Chinese languagef[`Ne Duration of study/From t^/yy g/mm e/dd/Tot^/yy g/mm e/dd~9egn Financial Support% 9 Self-supportONY TGuarantor's name N3uNsQ|Relationship with the applicant 0W@WAddress 5u݋/ Ow Tel/fax ON~{ TGuarantor's signature % !hENbc University exchangef[!h TyUniversity name T|NContact person ]\ODepartment 0W@WAddress 5u݋/ OwTel & Fax E-mail% |ENbc Department exchangef[!h TyUniversity name b| Ty Department name 0W@WAddress T|NContact person: 5u݋/ OwTel/Fax: E-mail% VYf[ё ScholarshipVYf[ё TyScholarship name cOVYf[ёUSMOProvided by: 5u݋/ OwTel/Fax E-mail3uNO/I hereby affirm that: 1) NTy-N@bkXQvQ[TcOvPgew[e All information and materials provided here are true and correct. 2)(WNSg u[-NVvl_Tlĉ NNNNUOqS[-NV>yOy^v N,gNegNSf[`NN Nv&{Tv;mR During my stay in China, I shall abide by the laws and decrees of the Chinese government, and will not participate in any activities which are deemed to be adverse to the social order in China and are inappropriate to the capacity as a student; 3)(Wf[g u[f[!hv!h~!hĉ \͑f[!hvYef[[c0 During my study in China, I shall observe the rules and regulations of the university, and will concentrate on my studies and researches, and will follow the teaching programs provided by the university. 3uN~{ T/Signature of the applicant:________________________________________________ (edk~{ T 3ueHe/The application is invalid without the signature.) eg/Date : t^/yy g/mm e/dd ]y`3ubR! 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