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   Application Form for International Students
   Personal Information
   ● Your name as shown on your passport:
Last/Family Name:  
First/Given Name:  
Middle Name:  
   ● Gender        ● Religion 
   ● Passport No.:
 
Passport Expiration Date:     yy/mm/dd
● If you are currently in China, when did you stay begin:  
If yes, what type of visa you are holding now  
●Date of Birth (yy/mm/dd):  
City & Country of Birth:  
Nationality:  
 
    Study Plan
●Program applied for  
○Short Term Programs:   2 Weeks 3 Weeks 4 Weeks 
○Start Date:   yy/mm/dd
＞Long Term Programs (＊Not all dates can be accommodated)   1 Year 2 Year 3 Year 
＞Start Date:   Spring 2010 Fall 2010
 
  ● Chinese Proficiency(excellent/good/average/poor/none)
  Level of HSK (If available ):   Score:
Reading Listening Writing Speaking
 
  ● Previous Educational Background
Name of School Country where located Duration(yy/mm/dd) Level of study and degree earned
 
  ● Contact Information
Foreign Address:    Street City State/Province Country Postal/Zip Code
Telephone Number (include country code):  
Cell Phone Number:  
E-mail Address (es):  
 
  ● How did you hear about Xi`an Bodi School(internet/agencies/friends/government, etc.)
    
   

 
 
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