Application Form For Admission

Full Name: (as appears in passport) (*)

Chinese Name:

Occupation:

Passport Number: (*)

Passport Expiration Date: (*)

Gender: (*)
 Male Female

Nationality: (*)

Marital Status: (*)
 Single Married

Place of Birth: (*)

Date of Birth: (*)

Current Mailing Address: (*)

Telephone: (*)

Skype ID:

Email: (*)

Current Level of Chinese:
 Beginner Elementary Intermediate Advanced

What type of classes do you prefer?:
 Small Group 1-on-1

Chinese Learning History:

Education Experience: (*)

Work Experience:

Health Situation:

Duration of Studying in China (include approximate starting date): (*)

Interests:

I here by affirm that:
(1) All the information in this form is true and correct;
(2) I shall abide by the laws of China and the regulations for admission and school regulations.

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