姓名

Name

英文姓/

Surname:

照片

Photo

英文名/

Given Name:

性别

Sex:

国籍

Nationality:

婚否

Marital Status:

护照号码

Passport No.:

有效期至年/月/日

Valid Until:Y.M.D

出生日期 年/月/日

Date of Birth:Y.M.D.

出生地点

Place of Birth :

最后学历/Highest Academic Degree Obtained:

宗教信仰/Religion:

来华学习专业/Field/Major to Study in China:

拟学习期限: Study Duration :

FromY M

ToY M

工作或学习单位/ Employer or Institution Affiliated in your country

职业Occupation

家庭地址及电话

Home Add.

Tel.

学生类别/Student Status: 健康状况/Physically and Mentally Strong/Sound□;

硕士生／Postgraduate Program:□; 本科生/Undergraduate Program:□;

普通进修生/General Training Program:□; 短期生/Short-term Training Program:□;

本人简历Personal Background

年、月至年、月

Inclusive Dates

学校或工作单位

Name of High School/University/Employer

职务

Position/Student status

经费来源Financial Support

经济担保人姓名 工作单位

Name of GuarantorCompany

职业 联系电话 传真

OccupationTelephoneFax

通讯地址/

Mailing Address

推荐人姓名： 工作单位：

Name of RecommenderCompany

职业： 联系电话： 传真：

OccupationTelephoneFax

通讯地址/

Mailing Address

在华事务担保人： 工作单位/

Name of Sponsor in ChinaCompany

职业 联系电话 传真

OccupationTelephoneFax

通讯地址

Mailing Address:

申请人保证：

（1）上述各项所提供情况是真实无误的。（2）在校学习期间遵守中国政府的法律法规和学校的规章制度。

I hereby affirm that:

（1） All the information I provided above is true and correct.

（2） I shall abide by the laws of the Chinese Government and the regulations of Jiamusi University.

日期/Date申请人签字/Applicant’s signature

Important note:

1. Please type your information in this form instead of hand writing, for we need your correct information to make JW202 form (an invitation you need while apply student visa).

2. Pay attention to the mailing address and telephone number item. The address should be in the country where you will apply your visa to China. The address is supposed to include the province, the city or town, the district, road or street and the building or door Number as detail as possible. The telephone number should include country code + area code + telephone number. Then with this address and telephone number we will contact with you and send you the original paper of JW202 form.

3. After fulfill the form please print out and sign your names and date, then e-mail us the photo of this application form.

※All the personal information should be the same as that in your passport!