同济大学外国留学生入学申请表ApplicationFormforinternationalStudentsWishingtoStudyatTongjiUniversity姓/Surname:名/Givenname:照片Photo中文姓名/ChineseName:性别/Sex国籍/Nationality护照号码/PassportNo.健康状况/HealthStatus婚否/MaritalStatus出生日期/DateofBirth出生地点/PlaceofBirth宗教信仰/ReligionE-mail:通讯地址/MailingAddress电话号码/PhoneNo.最后学历/HighestEducationalLevel语言能力(请用”好/一般/不会”评价/Languageproficiency(Good/Average/None)汉语/Chinese:;HSK级英语/English:;TOEFL(score);GMAT(score)其他/Others:留学类别/CategoriesofInternationalStudents:①本科生/Undergraduate□②硕士研究生/Master'scandidate□③博士研究生/Doctoralcandidate□④普通进修生/Generaladvancedscholar□⑤高级进修生/Senioradvancedscholar□⑥汉语进修生/ChineseLanguageLearner□申请学习时间/Durationofstudy:自/From年/Year月/Month日/Day至/To年/Year月/Month日/Day申请专业/Majorsyouapplyfor经费来源/FinancialSource自费/Self-support□保证人姓名及地址/Guarantor’sname&address申请人保证：1上述各项中填写的内容是真实无误的。2在同济大学学习期间，遵守中国的法律和学校的规章制度。Ihereaffirmthat:1Alltheinformationinthisformistrueandcorrect.2IshallabidebytheChineselawsandtheregulationsofTongjiUniversity.申请人签字：日期：年月日Applicant'ssignature:Date：YMD备注Memorandum同济大学外国留学生监护人保证书(LETTEROFGUARANTEE)我愿做国学生在同济大学学习期间的监护人，并保证下列各项：(IamwillingtobetheguardianofMr./Ms.,nationalityof,duringhis/herstudyperiodatTongjiUniversity,Shanghai,China.Iherebyaffirmthat):监督该生不从事来华学习以外的活动并保证遵守中国法律；(TosupervisemywardnottodoanythingthatisnotapplicableforaninternationalstudentstudyinginChina;andmywardwillabidebythelawsofthePeoplesRepublicofChina;)监督该生努力学习并遵守同济大学的各项规章制度；(Tourgemywardtoexerttostudyindustriouslyandobservethepertinentrulesandregulationsoftheuniversity;)监督该生按时交纳各项费用。该生不能支付有关费用时，由我负责支付；(Tourgemywardtopaythenecessaryfeesontime.Iwillbeliabletomywardforthepaymentwhich,incase,mywardisnotabletoaffordtopay;)负责该生在同济大学学习期间发生意外事故的处理工作。（Tohandletheaccidentthatmywardmeetsduringhis/herstudyperiodatTongjiUniversity.）监护人(Guardian)国籍(Nationality)：姓名(Name)：工作单位(Employer)：通讯地址Address)：电话(Telephone)：传真(FAX)：与被监护人关系(Relationtomyward)：监护人签字：(SignatureofGuardian)日期（Date）