APPLICATION FORM FOR INTERNATIONAL STUDENT

No.
Given Name:

Name on Passport Family Name: Chinese Name
photo

/Nationality /Gender

/Passport No. /Passport Validity

Year Month Date
/Marital Status /Religion

/Date of Birth /Place of Birth

Year Month Date
/Highest Academic Qualification and the date obtained or to obtain

/Currently Institution Enrolled/Employed /Occupation

E-mail:
/Current Mailing Address & Tel

/Permanent Mailing Address & Tel

/Education Backgroundhigh school and above

Years Attended Institutions Fields of Study Certificates

/Employment Record

Timefrom/to Employer Work Engaged Position

/Family Member

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Relationship Name Phone Number Occupation

/Study Plan at SMU

Subject or Field of Study
Category
Major
Doctoral
Candidate Research Field
Major
Masters
Candidate Research Field

Major
Undergraduate
Major
Senior Advanced
student Research Topic
Major
General Advanced
student Research Topic

/Duration of the Major Study

/From /Year______/Month ____ __ /To /Year_ __/Month ___ ___

/Teaching Language

English-Taught Chinese-Taught

Chinese Proficiency Excellent Good Fair Poor None
HSK /New HSK Oral Level HSK / New HSK Writing Level

English Proficiency Excellent Good Fair Poor None
GRE GMAT TOEFL IELTS

Do you want to take a one year program of elementary Chinese study Yes No

/ Financial Support

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 Guarantors name
Self- Relationship with the applicant
support Mailing Address & Tel
Email
http://www.csc.edu.cn
Scholarship Chinese Government Scholarship Please Visit China Scholarship Council Web
http://www.csc.edu.cn

Anyone recommend your application? /YES /NO

Organization
Name of Person Recommending Your Application
Nationality of Person Recommending Your Application
Mailing Address & Tel
Email

Name of Contacted Person in case of Emergency

Organization
Mailing Address & Tel
Email

Home Country Address

Phone Number
Zipcode

Address for Mailing the Admission Notice

Receivers name
Receivers Mobile
Zipcode

X
Materials Attached (Please Indicate with Xin the Bracket.):
/Two Letters of Recommendation.
/Transcripts of the Most Advanced Studies (Notarized Photocopy).
/Diploma of the Most Advanced Studies (Notarized Photocopy)
/High-schools /Bachelors /Masters /Doctors
/ Foreigner Physical Examination Form (Photocopy).
/ Study Plan in China.
/ Articles or Papers Written or Published.
/ English or Chinese Language Test Record
/Other Attachments (List Needed)____________________________
/Remittance of Application Fee RMB800 from Bank or Post
Office.

Whether the candidates are accepted or not, all the application materials and the application fee will not be
returned.

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/I Hereby Affirm That:
1.
All information and materials given in this form are true and correct.
2.

During my stay in China, I shall abide by the laws and decrees of the Chinese government,
and will not participate in any activities in China which are deemed to be adverse to
the social order of China and are inappropriate to the capacity as a student.
3.
During my study in China, I shall abide the rules and regulations of the host university, and concentrate on my
studies and researches, and follow the teaching programs arranged by the university.
4.
I will pay the fees as outlined in the regulation.
5.
If I am judged by the Chinese laws and decrees and the rules and regulations of the
university as having violated any of the above, I will not lodge any appeal against the
decision of concerned penalties.

/Signature: /Date: dd mm yy
/The application is invalid without the applicants signature

Mailing Address
1023 School of International Education
Southern Medical University
510515 Guangzhou 510515, China
86-20-61648385, 86-20-61648587 Tel86-20-61648385, 86-20-61648587
86-20-61648385 Fax86-20-61648385
studysmu@smu.edu.cn E-mailstudysmu@smu.edu.cn
AccountSouthern Medical University
BankTonghe Office,Baiyun Sub-
branch,Guangzhou Branch,Bank of China
635357761115 Account Number635357761115

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GUIDELINES FOR FILLING IN THIS FORM:

1.
Personal information about the applicant must be filled in truly and correctly.

2.


In the column of Education Background ,please provide the following information for all completed secondary,
vocational, technical, undergraduate or post graduate training and qualifications. Any incomplete courses
should also be listed. One notarized copy of your official transcripts certificates and notarized copies of English
or Chinese translations of your highest education must be included with each application form.

3.

In the column of Employment Record please clarify your work experiences and you current post. If you had
ever been to China for study or work, please specify your institution, employer
and time in China

4.
Please state your knowledge of languages, especially Chinese and English. If you have passed
a Chinese language test, please include a copy of the results in your application materials. This is very
important because it will decide your teaching language in China.

5.
Please note that your application will not be accepted until the Application Fee is confirmed. The Fee is not
refunded if the application is unsuccessful .

6 20 A4
Each set of the complete materials should not exceed 20 pages. Please use DIN A4.

7. http://web2.fimmu.com/lxs/.
This form can be downloaded for free from http://web2.fimmu.com/lxs/.