第PAGE-2-页共NUMPAGES2页外国留学生申请表（交流生）ApplicationFormforExchangeStudent请用正楷填写/Pleaseuseblockletters姓名Name姓FamilyName照片Photo名GivenNames中文InChinese国籍Nationality出生日期Dateofbirth年月日YMD出生地点Placeofbirth婚姻状况MaritalStatus性别Sex宗教Religion永久通讯地址Permanentaddress文件邮寄地址Postaladdress(ifnotasabove)电话Tel.传真Fax电子邮件E-mail最后学历HighestEducationLevel护照号码/PassportNo.有效期/Validuntil在读大学及专业YourhomeUniversity&Major希望入读学院及专业IntendedSchool&MajoratSJTUSchoolorDepartment:Major:学习期限DurationofStudyatSJTU从年月日到年月日FromYMDtoYMD1.需要预定学校宿舍吗？Doyouwanttoreservearoom(bed)oncampus?是Yes□否No□2.宿舍类型（TypeofRoom）（MinhangCampus）（MinhangCampus）8号楼（标准双人间）)□10号楼（单人间）□BuildingNo.8(StandardDoubleRoom）BuildingNo.10（SingleRoom）(XuhuiCampus)(XuhuiCampus)桃李苑（标准双人间）□桃李苑(普通双人间）□Taoliyuan(StandardDoubleRoom)Taoliyuan(OrdinaryDoubleRoom,Publicbathroom)关于宿舍费用，请详见www.sie.sjtu.edu.cn。Pleaseseeourwebsiteforthedetailinformationaboutdorm3.如没有所选定的房型，是否愿意服从学校安排？AreyouwillingtobearrangedtootherkindofroombyUniversity,iftheroomyouapplyforisnotavailable?是Yes□否No□在华担保人及电话GuarantorinChina&Tel推荐单位和电话Reference&Tel是否愿意学习汉语WouldyoulikelearnChinese?是Yes□否No□申请人保证：上述各项中所提供的情况是真实无误的；在中国学习期间遵守中国政府的法律和学校的规章制度。Iherebyaffirmthat:1.Alltheinformationinthisformistrueandcorrect;2.IshallabidebythelawsoftheChineseGovernmentandtheregulationsoftheUniversity.日期：年月日申请人签名：Date:YMDApplicant’sSignature院系意见（CommentofSchoolorDepartmentatSJTU）：签名（盖章）(Signature&Chop)：日期(Date)：注：（Note）我校交流项目只面向与我校签订校际（或院际）交流协议的学校在校生。TheexchangeprogramofOurUniversityisjustopentotheuniversitieswhichhavecooperationwithouruniversity.申请材料(ApplicationDocuments)(1）申请表1份（Anapplicationform）(2)护照复印件1份（Acopyofpassport）(3)学校推荐信1份（Arecommendationfromapplicant’sUniversity）(4)学生简历1份(ACV/Resumeoftheapplicant)(5)成绩证明1份（Anacademictranscription）申请时间(EnrolmentTime)春季学期（2月至7月）;报名截止日期：11月30日SpringsemesterisfromFebruarytoJuly,enrolmentbeforeNov.30.秋季学期（9月至次年1月）;报名截止日期：4月30日AutumnsemesterisfromSeptembertoJanuaryofnextyea