Download - Application Form2013 最新版
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8/15/2019 Application Form2013
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中國文化大學華語中心
Mandarin Learning Center at Chinese Culture
University
入 學 申 請 表 Application Form
1. 名
Name
中文姓名 Chinese name (if applicable)
護照上的姓名 Full name on passport
2.出生日期
Date Of Birth 3. 性別
Sex
年Y/ 月M/ 日D □ 男 Male □ 女 Female
4. 護照號碼
Passport Number 5. 國籍
Nationality
6. 國外通訊地址
Mailing Address in your country 7. 電話
Telephone no.
8.!"址
Address in Taian !if applicable"
9.電#$%
#$mail address
10. !&'(%)*+
Person to contact in case of emergency in Taian !if applicable"
姓名 Name 電話 Tel -. Relationship to applicant
11./0123文
%a&e you e&er studied Mandarin before'
□ Yes12 □ No412
12.5123文
6789:;<
(f yes) please anser the folloing *uestions+
1. =>?123文 ? Where did you study Mandarin 12@A !o" lon# did you study
$. /0B2 M%C 的CDEF GH/ !a&e you ta'en M%C placement test What le&el
13.IJ>KL文MN13O中P
?
%o did you ,no about M-'+
□Q+RSTU FamiliesFriends□VW Teacher□X的1Y chool□Z1[\]^ *#ent
□_` Website+,,,,,,,,, □ab *d&ertisement□cd -ther : ,,,,,,,,,,,,,,,,,,,,,,,,
14.Xef
( am applying for
□ g+D ndi&idual Class □ hijG Ni#ht Class for *RC holders
□ klD ntensi&e /roup Class □ cd -thers ______________
15.mn上j日期,
(
klD
)
The term you ish to attend !(ntensi&e group class" □Jan. ____□Feb. ____ □Mar. ____□Apr. ____□May ____ □Jun. ____
□Jul. ____ □Aug. ____□Sep. ____ □Oct. ____ □ Nov. ____□Dec. ____
6opefqr 0lease fill in the len#th of classes+
□$ □ □2 □3 □4 □5 □6 □7 □18 "ee's □one semester or more
6s 1t照uvwx?Please pasteone photo
here.
s t照uyw?n! photo
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8/15/2019 Application Form2013
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z名
Signature日期
Date