成都信息工程大学
来华留学生入学申请表
CHENGDU UNIVERSITY OF INFORMATION TECHNOLOGY
APPLICATION FOR ADMISSION—FOREIGN STUDENTS
请申请人认真阅读本表的注意事项后再填写下列各项：
Please read the IMPORTANT NOTES carefully before filling out the Form.
姓 名
Family name: Given name
出生日期
年/year 月/month 日/date
Date of birth 照 片
出生地点 国 籍 Photo
Place of birth Nationality
已婚□Married 护照号码 性别 男□Male
未婚□Single Passport No. /Sex 女□Female
最后学历
现职业 宗教
Highest Academic
Occupation Religion
Degree Obtained
现工作单位 居留许可号 到期时间
Employer or Residence Permit No. Expiration Date
institution Affiliated
联系地址/Home Add.&Tel.:
电话/Tel: 传真/Fax: E-mail:
来我校学习专业和期限/Intended 从/From 年/year 月 month
field of study & duration in CUIT 到/to 年/year 月 month
现有汉语水平/Present level of mandarin
Check the appropriate box to indicate the number of Chinese words you know.
A None B 1,000-2,000 C 2,000-3,500 D 3,500-5,000 E over 5,000
来华日期 Date of Arrival in China：
本人简历/Curriculum vitae
单位/List previous and current education 时间（年月——年月） 职务
& employer /years attended(from/to) /Position
住宿要求 /Accommodation requirement
A. 学校安排 /Arranged by the University □ B. 自已安排 Arranged by yourself □
来校留学类别/Program applied for:
Please check the box to indicate the degree or certificate program you are applying for.
□ □ 专科生/Professional Student
□ □ 本科生/Undergraduate Student
□ □ 硕士研究生/Graduate Student
□ □ 博士研究生/Ph.D. Candidate
□ □ 普通进修生/Student for Advanced Studies
□ □ 高级进修生/Senior Student for Advanced Studies
□ □ 研究学者/Visiting Scholar
□ □ 短期生/Short-term Student
□ 语言学习生/Chinese Language Student
详见成都信息工程大学留学生招生简章，如需要可来函索取。
Please see CHENGDU UNIVERSITY OF INFORMATION TECHNOLOGY Admission Brochure for
International Students for details. The brochure will be sent to you on request.
注：来华留学类别确定以后，原则上不再改变，请填写时认真考虑，学业结束，将按填写的留学类别颁发相应的证书。
Please Note: The program choice is basically final. Request for program change is usually
unacceptable. Please think carefully before making the choice. You can only get the degree or certificate
that is offered by the program you now apply for.
学生保证书
我愿意到成都信息工程大学学习，在校学习期间保证做到下列各项：
1． 遵守中华人民共和国法律。
2． 不从事学习目的以外的活动。
3． 遵守学校的各项规章制度，努力学习。
4． 按时缴纳学校规定的学生应该缴纳的各项费用。
我在校学习期间如发生意外时，请与下面人员联系：
姓名:
国籍: 与本人关系:
永久通讯地址:
单位:
电话:(住宅) (办公室)
传真: 无 E-mail:
学生本人签字: 年 月 日
DECLARATION
I am willing to study in Chengdu University of Information Technology. I pledge the following terms
during my study:
1. I will abide by the laws of the People’s Republic of China.
2. I will not engage in activities bearing no relation with my academic pursuit in China.
3. I will study industriously and observe all rules and regulations of the University.
4. I will pay all expenses on time.
The following person will be contacted in case of unexpected events or emergencies that may happen to
me during my stay in the University.
Name:
Nationality: Relationship to the applicant:
Address:
Name of the employer:
Tel:(home) (office)
Fax: E-mail:
Signature of the student: Date:
注意事项/IMPORTANT NOTES：
请逐项填写本表（申请表可复印使用），并附上下列有关材料后寄回。
1．学历证书：本人最后学历证书的复印件或大学在校学习证明。
2．成绩单：本人最后学历成绩单的原始件（复印件无效）。
3．两封推荐信：两名教师（大学或高中）或单位两名同事均可为其写推荐信。推荐信的内容主要是推荐人对被推荐人的评价。
4. 护照复印件。
*凡已在中国学习的同学还应提供下列材料：
5.在华学校留学生办公室的转学同意信（必须加盖公章）和任课教师的推荐信。
6.在华签证或居留证复印件。
我们接到您符合入学条件的材料后，在二个月内办理有关入学手续并寄发入学通知书和 JW202 表。
申请材料传真件无效
To ensure that your application receives proper attention, please fill out the Application Form
seriously (The Form can be copied). You should return the form together with the following
documents:
1. Photocopy of the diploma received or attendance certificate from a university.
2. An official transcript from the college you have recently attended.
3. Two recommendation letters from your college or high-school teachers, or from your
employers or colleagues.
4. A photocopy of your passport
*Students who are now studying in China should offer the following documents in addition:
5. An agreement of transferring universities from the Office for International Students in
which school or university you are studying now (must with common seal) and a recommendation
letter from a teacher in the former school or university.
6. Photocopy of your visa and residence permit in China.
Within two months after receiving the application, the University will send an Admission
Notice, along with Form JW202 for visa application, to students who are accepted.
Faxed Application Form Is Invalid
四川省成都市成都信息工程大学 邮编：610225
成都信息工程大学 国际教育学院
联系人：盖秋艳 Gia
电话：0086-28--85966899, 0086-28-85966993
传真：0086-28-85966993
电子邮件：[email protected];
[email protected]
Internet: http://cuit.edu.cn
Send the application and required documents to:
International Affairs Office
Chengdu University of Information Technology
Chengdu,610225
Sichuan, P.R.China
Contact: Gai Qiuyan
Tel: 0086-28--85966899,
Fax: 0086-28-85966993
E-mail:
[email protected];
[email protected]Internet: http://cuit.edu.cn
