北京华文学院入学申请书
Beijing Chinese Language and Culture College Application Form

1. 申请人简况/Personal information

中文姓名/Chinese name  
英文姓名/English name as shown in passport

国籍/Nationality  
性别/Sex

护照号码/Passport No.  
宗教信仰/Religion

出生日期/Date of birth:  
出生地点/Place of birth:
婚姻状况/Marital Status  
现在通讯地址/Current address:
现职业和工作单位/Current employment & employer:
电话/Tel  
传真/Fax  
电子邮件/e-mail:

2. 受教育情况/Educational background
学校/
Institution
在校时间/
Years attended (from/to)
主修专业/
Fields of study
所获文凭/
Diploma received
3. 学习要求/Check the course(s)of study you intend to enroll in
初级班 Elementary Class
中级班 Intermediate Class
高级班 Advanced Class
4. 现有汉语水平/ Level of ability in Chinese
(1)学过多长时间/Time studied

(2)在何处学习/Place studied

(3)语言能力/Language proficiency:
阅读/Reading 听力/Listening 说话/Speaking
汉语/Chinese
英语/English
其他/Other
 
(请用很好//一般/不会自行评价并填入空格
Please evaluate your ability as Excellent, Good, Fair or Poor in the blank.)
5. 申请学习时间 / Proposed duration of study
自/From 年/Year 月/Month 日/Date
至/To 年/Year 月/Month 日/Date
6. 注意事项/Important Notes:
申请人须用中文或英文印刷体填写
This form is to be completed by the applicant in Chinese or English only.