ࡱ> _  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^`abcdefghijklmnopqrstuvwxyz{|}~Root Entry F0.ZSummaryInformation((DocumentSummaryInformation8 WordDocument   !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMOh+'0 ( 4 @ LX`hp KingdaNormalIraSun5@p"@WZ@>,w7 <WPS Office_10.1.0.6206_F1E327BC-269C-435d-A152-05C5408002CA՜.+,D՜.+,d    Ok168  (\dlKSOProductBuildVer2052-10.1.0.6207&666666666vvvvvvvvv666666666666666666666666666666666666666666666666666hH666666666666666640Table4Data  PBKSKS   d$*2 $o h P@ 5   EAST CHINA NORMAL UNIVERSITY 2017SO-NVfgyv3uh Application for Study China Summer Program 2017 eY TFamily Name:First Name (& Middle Name): gq Gr Photo-NeY T Chinese Name: '`+R Gender ZZYrQ Marital Status: QuegDate of Birth: t^(Y) gM e(D) Qu0WpCountry of Birth:VM|Nationality: bgqSx Passport No:bgq gHeg Passport Valid Until: t^/Y g/M e/D5uP[NE-mail Address: [Ye Religion: LNbNOccupation or Status: ]\Obf[`NUSMOEmployer or School Affiliated:(WNST|N Contact Person in China: T|5u݋ Contact Number:,gV0W@WPermanent Home Address and Telephone No. WSStreet_______________________________________________W^City______________________ V[Country_________________ Zip code_____________5u݋ Phone Number________________[0W@WN N0W@W N T Mailing Address (if different) WSStreet_______________________________________________W^City______________________ V[Country_________________ Zip code_____________5u݋ Phone Number________________f[`NgP Study Duration: VhT Four weeks % /f&T[[ Dorm Reservation: Yes % N No % ~NmSNEconomic Twin Room (60rmb/day/person, shared, public bathroom) hQSNStandard Twin Room (90rmb/day/person, shared, private bathroom)/f&TSReL Trip Reservation SR Yes % NSR No %gTf[S Highest Academic Degree Obtained: f[`N~S Education Background:f[!h TyName of School/College/University NN Major _Yeg/t^ From: (mo/yr)~_geg/t^ To: (mo/yr)@bf[MO/t^N Degree Earned/Year3uNOI 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. China and the regulations of the University 3uN~{W[ eg Applicant s signature: Date:3uN(W,g3uhv TecN Applicant should submit the following documents with the application form: 1 bgq YpSN Photocopy of Passport 2 b T9400CQ Application Fee: 400RMB b T9Gl Please send the fee to the following account 1.^S Ty (Account Name) EAST CHINA NORMAL UNIVERSITY 2.^ S (Account No.) 435159245526 3._7bL (Bank Name) BANK OF CHINA SHANGHAI BRANCH 4. 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