武 汉 工 程 大 学
WUHAN INSTITUTE OF TECHNOLOGY
外国留学生学习申请表
APPLICATION FORM FOR FOREIGN STUDENTS
1.个人情况/Personal statement
| 姓名 Name |
英文姓名（以护照用名为准） In English (Same as in your Passport) |
姓/Family name： |
照 片 Photo |
| 名/Given name： |
| 中文姓名 (如有) In Chinese （if have） |
| 性别 Sex |
国籍 Nationality |
婚姻状况 Marital Status |
|
护照号码/Passport No. 有效期至/Valid Until _________年/ Yr ______月/ Mon _______日/ Day |
| 出生日期 _________年______月_______日 Date of Birth Yr. Mon. Date
|
出生地 国家 城市 Place of Birth Country City |
| 最后学历 Education level |
宗教信仰 Religion |
母语 Native language |
| 目前所在学校或机构 Place of study or work： |
职业 Occupation |
| 电话/Tel： |
传真/Fax： |
Email：
|
| 录取通知书邮寄地址/Address for correspondence (Please inform us for any change of this address)
|
| 家庭住址/Home Address |
| |
|
|
|
|
|
|
|
|
|
|
2.汉语水平/Level of Chinese
| 是否学过汉语 Have you studied Chinese?
|
是Yes |
|
程度(请自评“很好/好/一般/不会”)
Level（Please evaluate your ability as “Excellent/Good/Fair/Poor.”） |
阅读 写作 会话
Reading
Writing Speaking
|
| 否 No |
|
| 来武汉工程大学习的院系和专业 Department and major at WIT |
|
学习时间 Duration of study |
_______年/year _月/Month 到/to _______年/year _月/Month |
| |
|
|
|
|
|
| 3.特长及爱好/Special skills or interests
|
4.申请人亲属情况/Family Members
| 姓名/Name |
年龄/Age |
职业/ Occupation |
联系电话/Tel |
Email |
| 父亲/Father |
|
|
|
|
|
| 母亲/Mother |
|
|
|
|
|
| 配偶/Spouse |
|
|
|
|
|
5.推荐人情况/ Information for Referees
| 姓名/Name |
工作机构/Organization |
职务/Position |
联系电话/Tel |
Email |
| |
|
|
|
|
6.在华事务担保人或机构/ The Guarantor Charging your case in China
|
姓名/Name Foreign Affairs Office of Wuhan Insitute of Technology |
联系电话/Telephone 86 27 87195660 |
|
职业/ Occupation |
Email: fao@mail.wit.edu.cn |
|
工作机构/Organization |
|
联系地址/Address Xiongchu Road 693, Wuhan Hubei China
|
7.申请人保证/I hereby affirm that
| （1）上述各项中所提供的情况是真实无误的/All the information I provided above is true and correct; （2）在校学习期间遵守中国政府的法规和学校的规章和制度/I shall abide by the laws of the Chinese Government and the regulations of Wuhan Institute of Technology.
日期/Date 申请人签字/Applicant’s signature____________________ |
8.申请人在递送本申请表的同时，请提交/Please send with this form
| 语言进修生所需材料Relative documents required for Chinese Language applicants:
（1） 护照复印件/One photocopy of your passport 学位生及非语言进修生所需材料Relative documents required for Degree and Scholar applicants:
（1） 护照复印件/One photocopy of your passport （2） 最后学历证明/An official certificate of your highest education (or notarized photocopy) （3） 学习成绩单/An official transcripts (or notarized photocopy) （4） 推荐信/Two letters of recommendation(original) 无论申请人是否被录取，上述申请材料恕不退还 Whether the candidate is accepted or not, all the application material will not be returned |
Notice: Please fill this form in capital letter. Duplication of this form is available.
Contact address: Foreign Affairs Office
Wuhan
Institute of Technology 430073
Xiongchu Avenue
693
Wuhan, Hubei Province，P. R. China
Tel: +86-27-87195660 Fax: +86-27-87195310
E-mail: fao@mail.wit.edu.cn clizhu2003@163.com
Website: http://www.wit.edu.cn/, http://fao.wit.edu.cn/
联系电话：027-87193677（留学生招生咨询） 027-87193678（院办)
咨询邮箱：witsie1972@163.com 
邮政编码：430073
通信地址：中国.湖北.武汉市洪山区雄楚大道693号
