Application Form ECAP

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Please complete the form in Chinese or English. Fill the form on PC or write neatly in black or blue ink.

Tick  where
applicable. Any form that does not follow the notes will be invalid.

1- Source of fund:

 Self-sponsored
 Scholarship

2- Degree applying for:


Bachelor
Master
PHD
3- Major applying for:
Major:
- Plan A :
- Plan B :
- Plan C :
Teaching Language: English Chinese

4- Personal Information: (as on passport)

Family Name: Given Name :

Birth Date : Click or tap to enter a date. Gender : Male ; Female

Place of Birth : Nationality :

High level of education : Choose an item. Country of birth :

School Name : Hobby :

Passport Number Passport expiration date : Click or tap to enter a date.

5- English Language Proficiency :

Poor  Good Very good Fluent


Language proficiency certificate (if available):

IELTS TOEFL DUOLINGO Nothing


6- Educational Background:

Year Attended (From) Year Attended (To) School name Field of Study

01/09/2020 07/01/2023
01/01/2017 07/09/2020
09/01/2011 07/01/2017

7- Employement Background ( if you have ):

Year Attended (From) Year Attended (To) Company Name Job


Click or tap to enter a date. Click or tap to enter a date.
Click or tap to enter a date. Click or tap to enter a date.

8- Family Status:

Family Name Phone Number Email job Workplace or city


members
Father

Mother

9- Financial Supporter: (father or mother)

Guarantor name: Guarantor address:


Tel: Relationship with student: father
Company : Email:

10- Home country address:

Street address: Phone number:


City/Province: Mobile:
Country: Zip Code:

11- Current Postal Address:

Address: Email:
Mobile number: Zip Code:
申请人保证/I Hereby Affirm That:

1、申请表中所填写的内容和提供的材料真实无误;

All information and materials given in this form are true and correct.

2、在华期间,遵守中国的法律、法规,不从事任何危害中国社会秩序的、与本人来华学习
身份不符合的活动;

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 averse to the social order
of China and are inappropriate to the capacity as a student.

3、来华后服从学校的安排,不得无故要求变更学校和所学专业;

4、在学期间,遵守学校的校纪、校规,全力投入学习和研究工作。尊重学校的教学安排;

During my study in China, I shall abide by the rules and regulations of the host university, and
concentrate on my studies and researches, and follow the teaching programs arranged by the
university.

5、如违反上述保证而受到中国法律、法规或校纪、校规的惩处,我愿意接受中止或取消奖
学金及其它相应的处罚。

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 on
suspending, or withdrawing my scholarship, or other penalties.

申请人签字/ name :_ 日期/Date: Click or tap to enter a date.

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