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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
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护照用名/Name in passport
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姓/Family name
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中文名/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/Religion
(if applicable)
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最后学历/Highest education
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现职务/
Title & Job Positions
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现工作单位/Current employer
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永久通讯地址/Permanent mailing address:
电话/Tel: 传真/Fax:
E-mail 1:
E-mail 2（backup）: |
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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
Application 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/月——年/月） 主修专业
Previous and Current Education & Employer Years 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be365体育平台学习，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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