河北医科大学留学申请表.docx

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1、河北医科大学学申请表Application Form For The Hebei Medical UniversityE-mail:Tel: (86-311 )姓名 Name：姓 Surname名 Given Name出生日期 Date of Bi rth年 year月 month日 day性别Sex籍贯 National ity护照号码Passport No.照片Photo婚否 Mar i ta I Status民族宗教 Nation or Rei igion职业 Occupation出生地点Place of Bi rth学历 Highest Academic Degree Obtained

2、家庭住址 Fami I y Address本人及家庭联系电话Phone/Tel本人邮箱E-mai I父母邮箱 Parents9 E-ma i I个人简历(自高中开始)Individual Resume ( From the Middle School to the Present)时间Time学习工作单位及职务 School or Employer Affiliated and Occupation年Yr 月Mo 年Yr 月Mo年Yr 月Mo年Yr 月Mo年Yr 月Mo年Yr 月Mo年Yr 月Mo 年Yr 月Mo年Yr 月Mo现在Now来我校学习专业 Field of Study in Our

3、 University:学习类别 Study Category :本科 Undergraduate Course专科 Junior College Course 硕士研究生 Postgraduate Course博士研究生 Ph.D 汉语 Chinese Course医学进修 Medical Training学习期限 Duration:年 year月 month至 to年 year月 month经济担保人 Financial support wi I I be Provided by:声明本人郑重承诺所提供的所有入学申请文件和所填信息都是真实有效的。如有弄虚作假行为，本人愿接受任何处罚， 承担

4、一切后果与责任。声明人签名：日期：StatementI earnest promise all admission application documents and information I provided is true and effective. If there is any fraudulent behavior, I will bear all the consequences and responsibility and accept any punishment.Signature:Date:同意书本人保证在被贵校录取后将认真阅读并遵守中华人民 共和国相关法规、学校的管理

5、规定、同意购买由学校指定的 保险产品，如有违反相关规定由本人承担后果与责任。签名： 日期：Letter of ConsentI guarantee that after admitted to your university I will thoroughly read and abide by the relevant laws and regulations of the Peoples Republic of China, the management regulations of the university and I am willing to buy insurance products selected by the university. If there is any violation of rules, I voluntarily assume the corresponding consequence and responsibility.Date:Signature: