“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 the
Women’s Leadership Training Program for Excellent Women from Higher Education Organizations of “The Belt and Road” Countries
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护照用名
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Name in passport
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姓
/Family name
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中文名
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Chinese name
(if applicable)
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照
片
Photo
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名
/Given name
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国籍
Nationality
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出生地点
Place of birth
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出生日期
Date of birth
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年
月
日
/year/month/date
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男
□
Male
女
□
Female
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已婚□
Married
未婚□
Single
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护照号码
Passport No.
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宗教
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Religion
(if applicable)
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最后学历
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Highest education
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现职务
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Title &
Job Positions
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现工作单位
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Current employer
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永久通讯地址
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Permanent mailing address:
电话
/Tel:
传真
/Fax:
E-mail 1:
E-mail 2（backup）:
Note: It is highly suggested that provide two email addresses and avoid to use Gmail for technical reasons. |
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目前通讯地址
/Current address if different:
电话
/Tel:
传真
/Fax:Email:
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申请专业
A
pplication major
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研究方向
Research topic
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现有英语水平
/English language proficiency:
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本人简历
/Curriculum vitae
单位
时间（年
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月
——
年
/
月）
主修专业
Previous and Current Education & EmployerYears Attended(from/to)Fields of Study
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
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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:
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我愿意到金宝搏官方网站 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:
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