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єЈДПґуС§Ў°єєУпЗЕЎ±ПЯЙПНЕЧйЅ»БчПоДїЙкЗл±н

Application Form of Chinese Bridge Online Exchange Program of Hainan University

»¤ХХУГГы

Full Name

in Passport

РХFamily name

ЦРОДГы

Chinese name

ХХ Ж

Photo

ГыGiven name

№ъј®

Nationality

ЅЎїµЧґїц

State of Health

іцЙъИХЖЪ

Date of Birth

Дкy ФВm ИХd

ДР ЎхMale

Е® ЎхFemale

ТС»йЎхMarried

Оґ»йЎхSingle

»¤ХХєЕВл

Passport No.

»¤ХХУРР§ЖЪЦБValid until

Дкy ФВm ИХd

іцЙъµШµг

Place of Birth

ЧоёЯС§Аъ

Highest Degree Obtained

С§П°»т№¤ЧчµҐО»

Present

School/Company

Йн·Э»тЦ°О»

Current Status

ПЦУРєєУпЛ®ЖЅ

Level of Chinese

HSKїјКФЎхј¶

A Beginner B Elementary C Intermediate D Good E Advance

КЗ·сОЄїЧФєС§Ф±

Confucius Institute Student

КЗ ЎхYes ·с ЎхNo

ЙкЗлПоДїГыіЖ

Program Name

Ў°Chinese BridgeЎ± Contemporary China—Beautiful New Hainan

Online Exchange Program

ЙкЗлС§П°ЖЪПЮ

Duration of study

ЧФ 2022Дк12ФВ12ИХЦБ2023Дк1ФВ6ИХ

December 12,2022-January 6,2023

НЖјц»ъ№№/НЖјцИЛRecommending Institute/Referee

РХГыName

Ц°ОсOccupation

БЄПµµз»°ЎўµзЧУУКПдTel/Email

НЁС¶µШЦ·Mailing Address

ЙкЗлИЛ±ЈЦ¤/I declare that:

(1)ЙПКцёчПоЦРЛщМṩµДЗйїцКЗХжКµОЮОуµДЎЈAll the information in this form is true and correct.

(2)С§П°ЖЪјдЧсКШЦР№ъ·ЁВЙєНѧУµД№жХВЦЖ¶ИЎЈI shall abide by the laws of China and school regulations .

(3)ЅУКЬєЈДПґуС§¶ФС§П°µД°ІЕЕЎЈI shall accept the arrangements of Hainan University regarding my studies.

С§Йъ±ѕИЛЗ©ЧЦ/Applicant's signature ИХЖЪ/Date:

Чў Тв: ЗлЙкЗлИЛУГЦРОД»тУўОДЗеіюµШМоРґТФЙПёчПоЈУЪ2022Дк12ФВ9ИХЗ°Ѕ«З©ГыєуµД±ЁГы±н·ўЛНЦБУКПдtro-sie@hainanu.edu.cnЎЈ

Note: Please fill out all the information requested in Chinese or English., and send the signed registration to the email address tro-sie@hainanu.edu.cn before December 9,2022.

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