上海外国语大学外国留学生入学申请表

1、上海外国语大学外国留学生入学申请表（短期生）Application Form for International Students (Short-term Programs)Shanghai International Studies University该栏由学校填写 / Office Use Only.学号报名费照 片类别/ 学习费用来源Photo4cm*5cm期限请用英语或中文填写 Please complete the form in English or in Chinese.请在所选项目方框 内划表示Please indicate with in the blank chosen.

2、1. 基本情况Personal Information中文姓名Name in Chinese(If there is one)英文护照用名姓 Surname：Name in English名 Given Name：(Same as in Passport)国籍性别 男 MaleNationalitySex 女 Female出生日期年 yy月 mm日 dd出生地城市 City ：Date of BirthBirthplace国家 Country ：宗教信仰婚姻状况 单身 SingleReligionMarital Status 已婚 Married护照号码护照有效期年 yy月 mm日 ddPas

3、sport No.Valid until职业单位 EmployerEmployment/ Institution电话传真TelephoneFax电子邮件E-mail通信地址（邮寄录取通知书和JW202 表） Post Address for Acceptance Letter and JW202本国永久住址Permanent Home Country Address推荐单位Recommended by (Institution)电话 /传真 Tel/Fax2. 亲属情况Information of Family Members姓名 Name职业 Employment单位 Employer联系电

4、话Tel配偶 Spouse父亲 Father母亲 Mother3. 教育经历（从高中起填写）Education Background (From High School)学校名称在校时间专业学历 /文凭InstitutionsYears attended (from/to)MajorDiploma received-高中 High School-大学 University/College-1 of 24. 语言能力自评（等级：好，一般，不会）Self-assessment of Linguistic Ability (Good/Average/None)汉语 Chinese 好 Good 一般

5、 Average 不会 NoneHSK级 Grade学习汉语 I have studied Chinese for学时 hours.英语 English 好 Good 一般 Average 不会 None学习计划 Plan of Study at Shanghai International Studies University短期课程类别Type of Programs短期插班 Short-term study in the long-term ChineseLanguage Program暑期汉语言进修 Summer Chinese Language Program寒假汉语进修 Winte

6、r Chinese Language Program 1 期 2 期 3 期 1 周 2 周 3 周Session 1Session 2Session 31week2 weeks3 weeks学习时间Duration of Study自 From年 yyyy月 mm日 dd至 To年 yyyy月 mm日 dd6. 宿舍类型Room Type of Student Dormitory 双人间 Double room单人间 Single room上外迎宾馆 SISU Guesthouse高级双人间 Deluxe double room高级单人间 Deluxe Single room上外宾馆 SIS

7、U Hotel 双人间 Double room 单人间 Single room上外专家楼 Foreign Experts Building 双人间 Double room 单人间 Single room锦江之星 Jinjiang Inn 双人间 Double room 单人间 Single room 无需学生宿舍No need for student dormitory7. 紧急事件In Case of Emergency联系人姓名Name of the Emergency Contact Person：关系 Relationship to the applicant ：单位 Employer

8、 ：电话 /传真Tel/Fax ：地址 Address：邮箱E-mail ：联系人签名Signature：注意事项 Notes：1) 凡住宿以上学校宿舍者，房费按学期支付，中途退房，房费均不退还。 The accommodation fees of the above university dormitories are paid by semester and will not be refunded if you leave during the semester.学费在课程正式开始之前，可退百分之五十，申请退费时必须提供缴费发票。课程一旦开始，所有已支付的费用均不退还。 50% of t

9、he tuition can be refunded prior to the commencement of the classes whereas no fee will be refunded once the classes start. The invoice must be returned for any refund requests.申请人保证 I hereby affirm that上述各项中填写的信息和提供的材料真实无误；All the information and materials provided are true and correct.在华期间，遵守中国的法律和法规；During my stay in China, I shall abide by the laws and decrees of China.3) 在上海外国语大学学习期间，遵守学校各项规章制度。 During my study in SISU, I shall abide by the rules and reg