2017 NIRT APPLICATION FORM FOR INTERNATIONAL STUDENTS

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NANJING INSTITUTE OF RAILWAY TECHNOLOGY

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APPLICATION FORM FOR INTERNATIONAL STUDENTS
请请请请请请请请请请请请请请请请请请请请请请请请请请请请请请请请“请”请
Please fill all the information requested. Handwriting is not acceptable. Please write None if not applicable.
姓姓



姓 姓

Name

Surname

Photo



Given Name

姓 /Male

姓 姓

姓 姓

In Chinese

Nationality



姓姓/ Single

姓/Female □




姓姓姓姓

姓姓/Married □

姓姓姓姓

姓/Year

Religion

姓/Mon

姓/Day

姓姓姓

Date of Birth

Place of Birth


姓姓姓姓姓姓姓姓姓姓姓

姓姓/Country

姓姓姓姓姓姓姓姓姓姓姓

姓姓/Country

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Please send mails to:

, 姓姓/Tel. No.
姓姓/City

姓姓姓姓/Postal Code

Current address and Tel. No.

姓姓/City


姓姓/City

姓姓姓姓/Postal Code

Permanent Address and Tel. No.

姓姓/Country

, 姓姓/Tel. No.

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姓姓姓姓

□Permanent Address □ Current Address

Cell phone Number

姓姓姓姓


姓姓姓姓

E-mail

Highest Education

姓姓姓姓

姓姓姓姓姓

Passport No.

Valid until

姓/Year

姓/Mon

姓姓姓姓姓
Educational Experience:


姓姓姓姓 Chinese language proficiency: 姓姓 None □

姓姓 Basic □

姓姓 Intermediate □

姓姓 Fluent □

HSK 姓姓姓姓姓姓姓姓姓姓姓姓姓 Level of HSK test or other certificates which can show your Chinese proficiency:

姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓 65 姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓
姓姓姓210031
Add姓School of International Education, Nanjing Institute of Railway Technology, No. 65 south pearl road, Nanjing,
Jiangsu, China.
Zip code姓210031
Tel: 86-25-68533186/68533099 Fax: 86-25-68533099
E-mail: sienirt@163.com, baomw@126.com

姓/Date


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NANJING INSTITUTE OF RAILWAY TECHNOLOGY

姓姓姓姓姓姓姓 Proficiency in Other Foreign Languages:

姓姓姓姓姓 Categories of international students:
姓姓姓 exchange student □

姓姓姓 Language student □

姓姓姓 short time training student □

姓姓姓 Junior college student □

姓姓姓姓姓姓 Desired major:

姓姓姓姓 Period of study:
姓 Year 姓 Month


20

姓 to

20 姓 Year 姓 Month

姓姓姓姓姓姓姓姓姓 Reference& Contacts:
姓姓 Telephone:

姓姓 Fax:

姓姓姓姓姓姓姓姓姓姓姓姓 Guarantor in China& Telephone:

姓姓姓姓姓姓


姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓




姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓
I hereby affirm that:
1. All the information in this form is true and correct;
2. I shall abide by the laws of China and the regulations of the School, and will not participate in any activities ,which are deemed to
be adverse to the social order in China and are inappropriate to the capacity as a student.
姓姓姓 姓
姓 姓
Date: Y
M D
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Applicant’s Signature

Views of School of International
Education

南南 Signature:
南南 Date:


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Views of the President of NIRT
南南 Signature:
南南 Date:

姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓 65 姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓姓
姓姓姓210031
Add姓School of International Education, Nanjing Institute of Railway Technology, No. 65 south pearl road, Nanjing,
Jiangsu, China.
Zip code姓210031
Tel: 86-25-68533186/68533099 Fax: 86-25-68533099
E-mail: sienirt@163.com, baomw@126.com