北京化工大学
BEIJING UNIVERSITY OF CHEMICAL TECHNOLOGY (BUCT)
International Exchange and Cooperation Department, Beijing University of Chemical Technology, Beijing 100029,China
Tel: +86-10-64434754, Fax: +86-10-64423610, E-mail: faoffice@mail.buct.edu.cn

北 京 化 工 大 学 留 学 生 入 学 申 请 表
APPLICATION FORM OF BUCT

Name
姓名

英文姓名 Full Name of English:

Photo
照片

中文姓名 Full Name of Chinese:

国籍
Nationality :

婚姻状况
Marital status:single      or married

护照号码
Passport No.

有效期
Valid until       Year      Month    Date

出生时间 Date of Birth:

出生地 Place of Birth:

最后学历 Highest Educational Degree:

性别 Sex:

现今工作地
Present Place of Study or Work:

职业
Occupation or Statue:

永久居住地址与电话
Permanent Mailing Address and Tel :

拟学专业
The Major you would like to study for:

攻读学位或进修
The Degree or Training Program you want:

在华学习时间
Duration of Study at BUCT: From      Year       Month      To      Year      Month

经济担保人地址与电话
The Name of financial supporter:
telephone and mailing address:

在华事务担保人地址与电话
(Address of Guarantor in China and Tel):

是否预定学校的宿舍 (Whether book the dormitory of foreign student): Yes     No
E-mail:    @     

Note: Please mail the completed Application Form to the University as soon as possible. If your applying materials are through examining, an Admission Notice and a Visa Application Form (JW202 Form) will be forwarded to you.
日期 Date :                    签名 Applicant's Signature :

Wish Your Application Successful