复旦大学外国留学生入学申请书
APPLICATION FORM FOR FOREIGNERS WISHING TO STUDY
AT FUDAN
申请人认真阅读本表末页的注意事项后再填写下列诸项：
Please read the IMPORTANT NOTES at the end of the form carefully before filling in the form
1.申请人简况/Personal information
姓/Family name________________________名/Given name________________________中文名/Chinese name______________ 国籍/Nationality___________性别/Sex____________出生年月/Date of birth:___________年/Year______月/Month______日/Day
出生地点/Place of birth___________________ 婚姻状况/Marital State___________________护照号码/Paport No____________________ 宗教信仰/Religion_______________________现职业和工作单位/Current Employment & Employer
_____________________________________________________________________________ 联系地址/Present Addre ________________________________________________________ 邮编/Zip code_____________________________电话/Tel_______________________________ 传真/Fax_________________________________ E-mail________________________________
2.受教育情况/Educational background
学校Institutions _______________________________________________________________ 在校时间Year attended(from/to) __________________________________________________ 主修专业Fields of study ________________________________________________________ 所获文凭Diploma received ______________________________________________________
3.语言能力/Language proficiency
汉语Chinese: ______________________________
英语English:_______________________________
其他 Others:_______________________________
4.来复旦学习计划/Plan of study in China(please click what you plan to study)
1)语言生/Language student □普通进修生/General Advanced Student □
高级进修生/Senior student □本科生/Bachelor\'s degree □
硕士研究生/Master\'s degree □博士研究生/Doctorate □
2)专业或专题/Subject or field of study :申请学习时间/ Duration of specialized study:
自/From________年/Year_____月/Month_______日/Day
至/To _________年/Year______月/month_______日/Day
3)此栏请博士研究生或高级进修生用汉语填写/To be filled out in Chinese by doctoralcandidate or senior advanced student only
欲完成的论文题目：
本人希望的复旦大学的指导老师：
在复旦研究的详细计划（请另附纸张）：___________________________________________
5.经费来源/Financial Support
□自费/Self-support
保证人或推荐单位名称及地址/Guarantor\'s or company\'s name & addre
________________________________________________________________________保证人签名或推荐单位有关负责人签名盖章/Guarantor\'s signature or stamp and signature ofthe company\'s person in charge_____________________________________________
□校际交流/School exchange program
学校名称/Full name of the school ________________________
学校地址/Addre of the school ____________________________
学校有关负责人签名/Signature of person in charge _____________________
□本国有关单位资助/Funded by home-country organization
单位名称/Name of the organization ________________________
单位有关负责人签名/Signature of the organization\'s person in charge_________________
6.申请人保证/I hereby affirm that:
1)上述各项中所填写的内容和提供的材料真实无误；
All information and materials given in the form are true and correct.
2) 在华期间，遵守中国的法律和法规，不从事任何危害中国社会秩序的，于本人来华学习身份不相符合的活动；
During my stay at Fudan, 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 thesocial order in China and are inappropriate to the capacity as a student;
3)在学期间，遵守学校的校纪校规，尊重学校的教学安排；
During my study at Fudan, I shall observe the rules and regulations of the university, and willconcentrate on my studies and researches, and will follow the teaching programs made by theuniversity.申请人签名/Signature of applicant__________________日期/Date _________________
(无此签名，申请无效/The application is invalid without signature)
注意事项/Important Notes:
1.申请人须用中文或英文印刷体填写，其他文字或却项填写的申请表无效；
This form is to be completed by the applicant in Chinese or English only.An incompleteapplication or application completed in languages other than Chinese or English will beinvalid.
2.日本、韩国申请人请用英文填写姓与名栏；用汉字填写中文名栏。
Japanese and Korean applicants please fill the blank \"Family name\" \"Given name\" inEnglish and \"Chinese name\" in Chinese.
预祝您申请成功！
We wish your application succe!
《计算机办公自动化》课程入学考试考核大纲和样题复旦大学外国留学生
