中山大学交换生申请表

1、中山大学交换生申请表Application for Admission as an Exchange Student at Sun Yat-sen University个人信息Personal Information姓名Name性别Gender近照Recent Photo身份证/护照号码ID/Passport No.出生日期Date of Birth出生地Place of Birth国籍Nationality电话Phone No.手机MobileE-mail Address通讯地址Correspondence Address语言水平Language Proficiency(很好excellen

2、t、好good、一般fair、不会beginning)英语口语Spoken English书面英语Written English普通话Mandarin(Putonghua)广州话Cantonese书面汉语Written Chinese其他语言Other Language教育信息Academic Information就读学校Home University专业Major of Study年级Current Year of Study学制Years of Program交换学习信息Exchange Details(请登陆拟来中山大学学习专业Proposed Major at Sun Yat-sen

3、 University拟来中山大学学习时间Desired Period of Exchange请在下面填写拟选修中山大学课程（所选课程仅供参考，最终课程选择在到达中山大学后进行）List below the courses you wish to take (Courses chosen here are just for preliminary reference. Courses registration has to be completed after arrival at Sun Yat-sen University )课程名称Course Title课程名称Course Title

4、12345678910申请人声明Declaration我声明本申请表格内的相关信息及其证明文件都是准确无误的。I declare that the information given above and the documents in support of this application are accurate and complete.申请人签名Signature of Applicant日期Date所属学校推荐意见Supporting Statement from Home University(This section should be completed by the Regi

5、strar or Dean of the applicants home university)推荐人姓名Name of Supervisor职称Title签名Approval Signature日期Date中山大学相关学院（系）意见Approval by Sun Yat-sen University同意 / 不同意 接收该名学生到我院（系）交换学习一个学期。I Approve / do not approve the admission of this applicant as an exchange student in my college (department).学院（系）Department职称Title签名Approval Signature日期Date备注：该申请表应连同一份正式成绩单、一份身份证、一份回乡证/台胞证/护照复印件、2张一寸近照一起交到中山大学教务处。Notes: This application should be submitted to the Deans Office of Sun Yat-sen University, together with an official academ