Study Plan for Masters in Surgery

ZSTU International Students Application Form ? (please print) puddle Family Name Photo ? (please print) Given Name Nationality Gender Passport No. Valid until ? ? ? Date of Birth Year calendar month Day matrimonial Status Place of Birth Religious Belief Physical Status Highest Academic Major score Obtained Current Employer or College Affiliated Occupation Permanent Address Tel. /Mobile Fax No. e-mail My Contact Information Name Tel. /Mobile E-mail Contact on Emergencies Education & Work cause /Time for Chinese Learning hours Proficiency of Chinese Language HSK Band of HSK Achieved Preferences of College of Study Subject or Field of Study I Apply for ? /From ? /Year ? /Month ? /Day Duration ? /To ? /Year ? /Month ? /Day /Categories of International Students I Apply to be in ? /Bachelors Degree prognosis ? /Chinese Language Student ? /Masters Degree Candidate ? /General Scholar ? / bear ons Degree Candidate ? /Senior Scholar ? /Scholarship ? /Self-supporting ? /Other Financial victuals Name, Tel & Address of the Guarantor Charging Your Case in china /Guarantors Signature Date ( ? ? ? ) Do you have any of the following diseases(Each item must be answered Yes or No) ? Yes ? No epidemic cholera ? Yes ? No Venereal disease ? Yes ? No Yellow fever ? Yes ? No Lung tuberculosis ? Yes ? No message disease ? Yes ? No AIDS ? Yes ? No Leprosy ? Yes ? No Mental illness /I hereby defend that , All information and materials given in this form are true and correct to the best of my association and belief.I impart take full responsibility for the authenticity of the above information. , I shall abide by the Chinese laws & the regulations during the study at Zhejiang Sci-Tech University and will not participate in any activities in China which are deemed to be adverse to the social order of China and are inappropriate to the capacity as a student. , If Im judged by the Chinese laws and decrees and the rules and regulations of ZSTU as having violated any of the above, I will not lodge any appeal against the decision of ZSTU on suspending my study at ZSTU or other(a) penalties. /Applicants Signature /Date Advice of ZSTU Relevant Offices ) Directors Signature(Seal) /Date Remarks