复旦大学外国留学生入学申请书
APPLICATION FORM FOR FOREIGNERS WISHING TO STUDY
AT FUDAN
请申请人用中文或英文印刷体认真填写下列诸项，字迹要清楚。
Plea fill in the following items in Chine or English clearly.
1.申请人简况/Personal information
姓/Family name in English ___________________________________________________________
名/Given name in English ____________________________________________________________
中文名/Chine name________________ 国籍/Nationality___________________性/Sex________
如何建
出生年月/Date of birth:___________年/Year______月/Month______日/Day
出生地点/Place of birth_______________________ 婚姻状况/Marital State___________________
护照号码/Passport No________________________ 宗教信仰/Religion_______________________
现职业和工作单位/Current Employment & Employer_____________________________________
通知书邮寄地址/Post Address of the admission notice
__________________________________________________________________________________
邮编/Zip code_____________________________电话/Tel_______________________________以一当百
传真/Fax_________________________________ E-mail________________________________
2.受教育情况/Educational background
学校 在校时间 主修专业 所获文凭
Institutions Year attended(from/to) Fields of study Diploma received
认识植物_____________________ ____________________ _____________ ____________
_____________________ ____________________ _____________ ____________
_____________________ ____________________ _____________ ____________
3.语言能力(请用“好/一般/不会”评价)/Language proficiency （Good/Average/None ）
汉语Chine: ____________________；HSK_______级
英语English:_________；TOEFL(score)________；GMAT(score)_________；GRE(score)_________
4.来复旦学习计划/Plan of study in China (plea click what you plan to study)
1) 语言进修生/Language student □ 普通进修生/General Advanced Student □
专业或专题/Subject or field of study : ____________________
2) 本科生/Bachelor's degree □
*申请类别/Majors you apply for ：人文、法政、经济管理、数学、自然、技术、医学、外语
再生父母第一志愿(No.1) ______ 第二志愿(No.2)_______
猴年马月什么意思班会策划*是否服从调剂/Accept other majors or not?： 是/Yes □ 否/No□
*考试地点/Examination Place ：上海/Shanghai □ 北京/Beijing □
韩国首尔/Seoul □ 新加坡/Singapore □
3）硕士研究生/Master's degree □ 博士研究生/Doctorate □ 高级进修生/Senior student □
申请专业/Majors you apply for：___________________________________________________
下栏请博士研究生或高级进修生用汉语填写/To be filled out in Chine by doctoral candidate
or nior advanced student only
介绍旅游景点研究方向：__________________________本人希望的复旦大学的指导老师：_
射精有好处吗欲完成的论文题目： ____________________________
在复旦研究的详细计划（请另附纸张）：___________________________________________
5.申请学习时间/ Duration of specialized study:
自/From________年/Year_____月/Month_______日/Day
至/To _________年/Year______月/month_______日/Day
6.经费来源/Financial Support
□自费/Self-support
保证人姓名及地址/Guarantor's name & address
________________________________________________________________________________ 保证人签名/Guarantor's signature or stamp _____________________________________________ □校际交流/School exchange program
学校名称/Full name of the school ________________________
学校地址/Address of the school ____________________________
□本国有关单位资助/Funded by home-country organization
单位名称/Name of the organization ________________________
7.推荐单位/The person or company who recommends you
推荐单位名称及地址，邮编/The name of company who recommends you & address &Zip code
___
负责人签名盖章/The signature or stamp of person or company who recommends you
8.申请人保证/I hereby affirm that:
1)上述各项中所填写的内容和提供的材料真实无误；
All information and materials given in the form are true and correct.
2)在华期间，遵守中国的法律和法规，不从事任何危害中国社会秩序的，于本人来华学习
身份不相符合的活动；/ During my stay at Fudan, I shall abide by the laws and decrees of the
Chine government, and will not participate in any activities which are deemed to be adver to
the social order in China and are inappropriate to the capacity as a student;
3)在学期间，遵守学校的校纪校规，尊重学校的教学安排；/ During my study at Fudan, I shall
obrve the rules and regulations of the university, and will concentrate on my studies and rearches, and will follow the teaching programs made by the university.
申请人签名/Signature of applicant____________________ 日期/Date_________________ (无此签名，申请无效/The application is invalid without signature)
预祝您申请成功! We wish your application success!
