Study Plan for Masters in Surgery

ZSTU International Students Application Form | |? |(please print) | | |Name |Family Name | |Photo | | |? |(please print) | | | |Given Name | | | | | | | | |Nationality | |Gender | | | | | | | | |Passport No. | |Valid until | | | |? ? ? | | | |Date of Birth |Year Month Day |Marital Status | | | | |Place of Birth | | | | | | | |Religious Belief | |Physical Status | | | | | | |Highest Academic | |Major | | |Degree 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 Experience | | | | | | | | | | | /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 | |? /Bachelor’s Degree Candidate ? /Chinese Language Student | |? /Master’s Degree Candidate ? /General Scholar | |? /Doctor’s Degree Candidate ? /Senior Scholar | | |? /Scholarship ? /Self-supporting ? /Other | |Financial Support | | | | |Name, Tel & Address of the Guarantor Charging Your Case in China: | | | | | | /Guarantor’s Signature: Date: | | ( â€Å"? â₠¬ ? â€Å"? †) | |Do you have any of the following diseases(Each item must be answered â€Å"Yes† or â€Å"No†) | |? Yes ? No Cholera ? Yes ? No Venereal disease | |? Yes ? No Yellow fever ? Yes ? No Lung tuberculosis | |? Yes ? No Heart disease ? Yes ? No AIDS | |? Yes ? No Leprosy ? Yes ? No Mental illness | | /I hereby confirm that: | | , | |All information and materials given in this form are true and correct to the best of my knowledge and belief. I will 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 I’m 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 penalties. | | /Applicant’s Signature: /Date: | | | |Advice of ZSTU Relevant Offices | | | | | | ): | |Director’s Signature(Seal) /Date: | | | |Remarks | | |