Provisional Acceptance of International Student by USTC Professor

教授接收外国留学生意向表

Form for Provisional Acceptance of International Student by USTC Professor

（This form can be used as the Supervisor’s Comment Page）
此表由接收导师填写，接收院系盖章，然后将扫描版发给申请人，申请人需要在网申系统里上传。
This page is to be filled in by the applicant’s supervisor and institute/school, and send back to applicants, who
need to upload the scanned copy in the application system.
申请人姓名

申请人国籍

Applicant’s Name
邮箱

Nationality
拟录取类别

□硕士生(Master)

Email

Level of Study

□博士生(PhD)

Major
学习期限

授课语言

□汉语 Chinese

Language of Instruction

□英语 English

拟录取专业

Duration of Study
导师姓名

拟录取系别
Department

年/Year

联系电话及邮箱

Supervisor’s Name

Telephone No. & Email

导师意见（非常重要，请导师经邮件、电话或视频对申请者进行评估后，如实填写意见。如有往来邮件请
附后。）（Supervisor’s comments. VERY IMPORTANT.）：

导师签字 (Signature)：
研究所/院系意见 (Comments of the Institute/ School)：

负责人签字 (Signature)：

年(year)

月(month)

日(day)

（单位公章/ Official Seal）

年(year)

月(month)

日(day)

注：本表由我校教授填写；根据与外国学生沟通了解的情况，提出接受意向。本表不作为留学生的录取凭证。外国留学生可将本表作为申请
的辅助材料递交给留学生招生部门。
Note：This form is filled by the professor of USTC according to his knowledge of the applicant. This form cannot be used
as an official letter of admission; it can only be used as a supplementary part of the application materials for study at
USTC.