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2018 Women’s Leadership Training Program for "The Belt and Road" Countries——Application Form


 
“一带一路”国家高等教育机构卓越女性领导力培训项目申请表
 
Application Form of theWomen’s Leadership Training Program for Excellent Women from Higher Education Organizations of “The Belt and Road” Countries
 
 
护照用名/Name in passport
/Family name
中文名/Chinese name
(if applicable)
 
Photo
 
/Given name
 
 
国籍
Nationality
 
出生地点
Place of birth
 
出生日期
Date of birth
                            
/year       /month      /date
Male
Female
已婚□Married
未婚□Single
护照号码
Passport No.
 
 
宗教/Religion
(if applicable)
 
最后学历/Highest education
 
现职务/
Title & Job Positions
 
现工作单位/Current employer
 
永久通讯地址/Permanent mailing address:
 
 
电话/Tel:                         传真/Fax:                   
E-mail 1:

E-mail 2backup:

Note: It is highly suggested that provide two email addresses and avoid to use Gmail for technical reasons.

目前通讯地址/Current address if different:
 
 
电话/Tel:                         传真/Fax:                    Email:
申请专业
Application major
 
研究方向
Research topic
 
现有英语水平/English language proficiency:

本人简历/Curriculum vitae
单位                            时间(年/——/月)                主修专业
Previous and Current Education & Employer        Years Attended(from/to)                Fields of Study
______________________  ____________        ____________________             _________________
______________________  ____________        ____________________             _________________
______________________  ____________        ____________________             _________________
______________________  ____________        ____________________             _________________
 
                                                                                                               
 
紧急联系人(紧急联系人可以是父母或者亲戚朋友,国籍不限,但学生不能做紧急联系人)/Emergency contact during your stay at BLCU(Contact person can be a parent or relative of applicants. The applicant cannot be the contact person )
姓名/ Name:              国籍/ Nationality:            与本人关系/Relationship to the applicant: 
永久通讯地址/Permanent mailing address:
 
单位/ Name of employer:
住宅电话/Home Tel:                         办公室电话/Office Tel:
传真/ Fax:                                  Email:
 
 
我愿意到365bet投注官网_365bet官网体育在线_365bet官网官方网址学习,在学习期间保证做到下列各项/I am willing to participate in the training program held at China Women’s University. I pledge the following terms during my training:
1.     遵守中华人民共和国法律
I will abide by the laws of the People’s Republic of China.
2.     不从事学习目的以外的活动
I will not engage in activities bearing no relation with my training in China.
3.     遵守学校的各项规章制度
I will observe all rules and regulations of the University.
 
 
申请人本人签字/Signature of the applicant:                               
日期/Date: