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APLICATION FORM FOR INTERNATIONAL STUDENTS
Name | Family Name: Li | Gender | Maleþ Female□ | |||
Given Name: Qiang | ||||||
Date of Birth | August 10, 1999 | Place of Birth | Guangzhou China | |||
Nationality | Chinese | Passport NO. | G08653308 | |||
Permanent Home Address Street:65 Haibin Street, Nansha District City:Guangzhou Country:China Tel:+861388808999 Fax:+8602084986677 E-mail: Liqiang@hotmail.com | ||||||
Family Members Relationship Name Occupation Tel E-mail Father Li Dawei Lawyer +8613525756989 Dawei@136.com Mother Zheng Hua Doctor +8618022857755 Zheng123@qq.com | ||||||
Educational Background | Time School Reference Sep. 2005-Jun. 2011 Jinxing Primary School Ms. Wang Sep. 2011-Jun. 2014 Xinhua Middle School Mr. Deng Sep. 2014-Jun. 2017 Guanghua High School Mr. Liu | |||||
English language tests results | □TOEFL Scores:__________ (Total score: 120 ) þIELTS Scores: 8.5 (Total score: 10 ) □Others________ Scores:__________ (Total score: ) | |||||
Student Category Student type þundergraduate □postgraduate Long-term Program þfull-time student □part-time student Short-term Program □Exchange Student □Language Student □Vocational Student | Sources of Support þScholarship □Self-Supporting | |||||
Program applying for | Environment engineering | |||||
Signature:Li Qiang Date: 11 June, 2017 | ||||||