THE CENTRAL UNIVERSITY OF NATIONALITIES
中国 北京中关村南大街27号 100081
3362 3039
No.27Zhongguancun south street,Beijing100081,R.P.China
TEL:0086-10-68932544 FAX: 0086-10-68932544 Http://grs.cun.edu.cn共济
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请申请人认真阅读本表最后一页的注意事项后再填写下列各项同济
Please read CAREFULLY the IMPORTANT NOTES at the END of this application before filling out the form.
1. 护照用名/Full legal name 辅导
姓/SURNAME 名/FIRST MIDDLE业
2. 中文姓名/Chinese name 3. 国籍/Country of citizenship 同济
4. 护照号码/Passport No. 5. 性别/Sex : ¨ 男/Male ¨ 女/Female
6. 婚姻状况/Marital status 7. 宗教/Religion
8. 出生日期(年/月/日)/Date of birth(y/m/d) / / 9. 出生地点/Place of birth
10. 永久通讯地址/Permanent address
传真/FAX 电话/TELEPHONE 电子邮件/E-MAIL
11. 目前通讯地址/Current mail address if different from permanent address
传真/FAX 电话/TELEPHONE 电子邮件/E-MAIL
12.申请人在华联系人或机构/The Guarantor Charging Your Case in China:
姓名/Name: 电话/Tel: 传真/Fax:
地址/Address：
13. 在华学习单位、专业/导师/ Research field and institutedan tutor in which I wish to study
14. 学习期限/Duration of study
自/From 年/Year 月/Month 至/ To 年/Year 月/Month
15. 本人最高学历/Highest educational level
校名/Institution 地点/Location 专业/Major 起止时间/Date（from__to__） 所获学位/Degree Awarded
16. 本人工作经历(从当前工作开始，如空格不够，请附另页)/Working experience (Starting from current position, use additional sheet if needed)
工作单位/Employer Name 地点/Location 起止时间/Date（from__to__） 职位/Position
17. 语言熟悉程度Language proficiency
□ 很好/Excellent □ 好 /Good □ 一般 /Fair □ 初级/Elementary
HSK考试成绩或其它类型汉语考试成绩/Level of HSK test or other certificates which can show your Chinese
level:
18. 学位论文和曾发表的主要学术论文（如空格不够，请附另页）/ Degree thesis and major publications（Use additional sheet if needed)
19. 学习或研究的详细计划（如空格不够，请附另页）Detailed study or research plan at GSCAS（Use additional sheet if needed）
20. 推荐人/References
1) 姓名/Full Name 工作单位/Organization
职称/Title 地址及电话号码/Address & Tel
2) 姓名/Full Name 工作单位/Organization
职称/Title 地址及电话号码/Address & Tel
21．经费来源Financial resources
□自费Self-supported □家庭资助/Family
□如有其它机构资助,请具体说明 /If funded by other organization, please specify
22. 经济担保人姓名/Financial sponsor’s name
工作单位/Organization 职业/Occupation
地址及电话号码/Address & Tel
23．其他需要说明的问题/Other relevant information you wish to supply
申请人保证:/I hereby affirm:
1. 上述情况真实无误。/ I have reviewed the above information, and it is true and complete to the best of my knowledge.
2. 在中国学习期间遵守中国政府的法律和研究生院的规章制度。/ I shall abide by the laws of the Chinese government and the regulations of the school.
申请人签字/Signature 日期/Date
Do not write bellow this line
研究生院意见： |
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研究生录取 |
□ 同意 / □ 不同意 |
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培养单位公章
负责人签字： 年 月 日
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注意事项/Important Notes:
1. 请申请人用中文填写，其他文字或缺项的申请表无效；需在本表相应框内做出选择的地方，请用符号“P”表示。/ This form is to be completed by the applicant in Chinese or English only. Any incomplete application or application completed in languages other than Chinese or English will be invalid; Please use “P” to check the box in the relevant items to indicate your selection.
2. 报名费：申请人在递交申请时须同时交纳报名费，否则本次申请无效。
博士和硕士：人民币581元；
普通、高级进修生：人民币581元。
Application fee: An application is not considered complete until the fee has been paid.
For Ph.D. and Master students: RMB￥581 or US$70
For visiting students and senior visiting students: RMB￥581 or US$55
3.申请者在提交本申请表时，须连同以下材料寄送至中央民族大学研究生院招生办公室（地址：中国北京市中关村南大街27号, 邮政编码：100081）/The applicant should send the application form and all the following materials t Admission Office, Graduate School of THE CENTRAL UNIVERSITY OF NATIONALITIES, No.27Zhongguancun south street,Beijing100081,R.P.China Zip Code: 100081.
(1) 报名费（不退还）/Application fee（non-refundable）;
(2) 最高学位证书公证件/ Degree certificate of the most advanced studies (notarized photocopy);
(3) 大学本科或研究生学习成绩单原件或公证件/ Transcripts of your undergraduate or graduate study (original or notarized photocopy/photocopies);
(4) 两名副教授（或相当职称）以上学者的书面推荐信（原件）/ Two letters of recommendation from your instructor at least at associate professor level or other person familiar with your activities with equivalent academic achievement（original）;
(5) 个人简历/Curriculum vitae;
(6) 护照复印件/Pssport (copy);
(7) 免冠照片10张/Ten bare-headed photos .
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