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North China Electric Power University

APPLICATION FORM

英文姓/Surname *	英文名/Given Name *	性别/Sex *
中文名/Chinese Name	出生日期/Date of Birth 年/Y 月/M 日/D *	出生地点/Place of Birth *
护照号码/Passport NO.	国籍/Nationality *	婚姻状况/Marital Status
现工作或学习单位/Employer or School Affiliated *	宗教/Religion	职业/Occupation
最后学历/Highest academic degree obtained *	电话/Tel *	传真/Fax *
通讯地址/Postal Address *		E-mail *
汉语水平/Level of Chinese	母语/Native language	通晓何种语言/ Other languages
留学目的/Goal Information 攻读学位/Degree Seeking：学士/Bachelor 硕士/Master 博士/Ph.D. 不攻读学位/Non-Degree Seeking: 语言生/Language Student 访问学者/Visiting Scholar 普通进修生/Ordinary Training Student 高级进修生/Advanced Training Student
来华学习专业/Field of study in China
留学期限/Duration of study in China 从/From 年/Y 月/M 到/To 年/Y 月/M
经费来源/Financial support
经费保证人及其地址/ Name & address of financial support		紧急情况联系电话/Contact Number in case of Emergency:
申请人保证：上述各项中所提供的情况是真实无误的。我在华北电力大学学习期间将遵守中国政府的法律和学校的规章制度。 I hereby affirm that: All the information given in this form is true and correct; I shall abide by the laws of the Chinese Government and the regulations of NCEPU. 签名/signature：日期/Date: 2008-12-4

Zhuxinzhuang, Dewai, Beijing 102206, P.R.China
International Educational Institute, North China Electric Power University
Tel(Fax): 0086-10-80793074 E-mail: icdfs@ncepu.edu.cn
Web: http://www.ncepu.edu.cn