ࡱ> V  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root Entry FpXSummaryInformation(DocumentSummaryInformation8WordDocument  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOh+'0 $ 0 < HT\dl KingdaNormaldell2@&@SW@(gMicrosoft Office Word՜.+,D՜.+,d    Ok168g  (\dlKSOProductBuildVer2052-10.1.0.59750TableData  PKSKSj :: :\|'i $ h @f@  0 YVYuf[uwgeQf[3uh Application Form for Short-term Admission No. _____________ eYFamily Name on Passport:e TGiven Names on Passport:  gq Gr Photo-NeY T Chinese Name: '`+R Gender %7u/M %sY/FZZYrQ Marital Status: %]ZZ/Married %*gZZ/SingleQuegDate of Birth: t^/Yr. g/Mo. e/Date Qu0WpPlace of Birth:VM|Nationality: bgqSx Passport No:bgq gHeg Passport Valid Until: t^/Yr. g/Mo. e/Date5uP[NE-mail Address: ]\Obf[`NUSMOEmployer or School Affiliated:wmY0W@W Address overseas: WSStreet________________________________________________________W^City______________________ V[Country_______________________ Zipcode_____________5u݋ Phone Number____________________-NV0W@W g Address in China (if you have) WSStreet________________________________________________________W^City______________________ V[Country________________________ Zipcode_____________5u݋ Phone Number___________________3u{|+R Applying as: [GPwgu Short Term Language Program (Winter Chinese Language Program) Yuf[gP 2017t^1 g2e 2017t^ 1 g20e Enrollment from Jan. 2, 2017 to Jan.20, 2017gTf[S Highest Academic Degree Obtained:NMRf[ǏIlTHave you ever learned Chinese before? % lf[ǏNO % f[ǏYES00 *NgMonthsIl4ls^bċN Self-assessment on your Chinese level %R~Beginner0%-N~Intermediate %ؚ~Advanced3uNOI hereby affirm that: NTy-N@bcOv`Q/fw[ev All the information given in this form is true and correct; (W-NVf[`Ng\u[-NV?e^vl_Tf[!hvĉz6R^ I shall abide by the laws of the government of P.R. 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