《皖南医科大学国际学生入学申请表》
Wannan Medical College Application Form for International Students
继续申请/Continue to apply
标记
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为必填或必选项，
请按顺序填写！
Mark
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is mandatory or uploaded,
please fill in the order！
申请信息/Application information
本人简历/Personal resume
家庭成员/Family member
担保人/Guarantor
附件上传/Attachment upload
暂存/Temporary storage
记录查询/Record query
护照用名/Name on Passport：
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姓/Family name：
中文名/Chinese name：
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名/Given name：
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国籍/Nationality：
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出生地点/Place of birth：
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出生日期/Date of birth：
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护照号码/Passport No.：
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宗教/Religion：
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本科毕业学校/University Graduated from:
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本科就读专业/Major of undergraduate:
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本科毕业学校联系电话/Phone number of the university graduated:
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最高学历/Highest education：
现职业/Current occupation：
现工作单位/Current employer：
微信号：WeChat number：
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境外永久通讯地址/Full non-Chinese permanent postal address：
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电话/Tel：
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邮箱/E-mail：
传真/Fax：
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录取通知书接收地址/Address to receive the admisson package,if different from above：
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电话/Tel：
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邮箱/E-mail：
传真/Fax：
语言水平
（很好/好/一般/初级）
Language Level
(Excellent/Good/Fair/Elementary)
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汉语水平/Chinese：
HSK Level:
HSK score:
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英语水平/English：
TOEFL score:
IELTS score:
申请专业
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学科Subject：
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专业Major：
请选择
内科学Internal Medicine
外科学Surgery
影像医学与核医学Imaging Medicine and Nuclear Medicine
麻醉学Anesthesiology
妇产科学Obstetrics and Gynecology
眼科学Ophthalmology
皮肤病与性病学Dermatology and Venereology
临床检验诊断学Clinical Laboratory Science
Please carefully verify the major names to ensure accuracy. Major adjustments shall not be approved without valid reasons.
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研究方向Research Direction：
请选择
暂存/Temporary storage
本人简历（从高中开始）/Curriculum vitae (Starting from high school)
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单位
Pervious and current educational institute & employer
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时间（年/月-年/月）
years attended (from/to)
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职务
Position
家庭主要成员/Family members
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姓名/Name
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关系/Relation
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电话/Tel
担保人（担保人可以是父母亲戚朋友，国籍不限，但是学生不能做担保人）Emergency contact（Can be a parent or relative of the applicant,out of China,or in China.Students cannot be the contact）
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姓名
Name：
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国籍
Nationality：
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与本人关系
Relationship to the applicant：
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永久通讯地址
Permanent Mailing Address：
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单位
Name of employer：
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电话/Tel(住宅/home)：
电话/Tel(办公室/office)：
传真/Fax：
邮箱/E-mail：
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经过公证的最高学历复印件，如申请人为在校学生，需提交经过公证的本人就读学校出具的在学证明复印件（中英文以外文本需附经公证的中文或英文的译文）；
Copies of the notarized certificate of the highest academic qualification. If the applicant is a student,he/she should also submit the copies of the notarized study certificate issued by the school he/she is studying in (certificate in other than Chinese and English should be accompanied by a notarized Chinese or English translation);
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经过公证的学习成绩单复印件(中英文以外文本须附经公证的中文或英文的译文)；
Copies of notarized transcripts of academic record(non-Chinese and non-English record must be accompanied by notarized Chinese or English translations);
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推荐信复印件(需提交两名教授或副教授的推荐信并经所在学校确认签字盖章)；
Copies of Recommendation letter (from two professors or associate professors);
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护照复印件；/Copy of passport;
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汉语水平考试(HSK)成绩证明或相近汉语水平证明材料复印件；/Copy of Chinese proficiency test certificate;
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《外国人体格检查表》复印件(有效期为六个月)；/Copy of Foreigner Physical Examination Form (valid for six months);
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由当地警察部门提供的六个月内无犯罪记录证明复印件；/Copies of Non-criminal record within six months provided by local police department;
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银行存款证明复印件(至少相当于5万元人民币)；/Copies of Bank deposit certificate (equivalent to at least RMB 50,000 yuan);
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近期电子版证件照片(大小同护照照片尺寸)；/Digital identification photo taken recently (the same size as passport photos);
其它材料:所发表的文章及成果,各种获奖证书、证明材料复印件。
Other materials: Copies of published articles and achievements,various award certificates,and supporting materials.
(备注:来校报到时需携带以上所有材料原件供核验。)
(Note: The original version of all the above materials shall be handed in for verification when registering.)
