Gender

M □

F □

Date of Birth

       y      m     d 

Country

Passport No．

Expiration Date of

Residence Permit

       y        m        d

Address & Phone in your country

Categories of students

Language student □

Diploma student □

Specialty of Study

Student ID No．

Phone No．

E-mail

Accompanying family member（s）

Name (S)

Relationship to the applicant

Passport No．          

Age       

Planned Duration of Study

From     y．    m．        to          y．     m．

Planned Duration of on-campus Accommodation

From   y．    m．     d．    to      y．    m．   d．

Copy of Residence Permits for Foreigner

in the P．R．C

Please Attach the Copy Here