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Jiyang District, Sanya, Hainan 572022 P.R.China Tel: +86-898-38205083/38815089, E-mail: zmwl@geelytalent.com.cn ¤bgq(u T Full Name in passport ÓYFamily name -N‡e T Chinese name gq Gr Photo TGiven nameýVM| NationalityeP·^¶rµQ State of HealthúQuåeg Date of birth t^ g åey m d7u ¡%Male sY ¡%Femaleò]ZZ¡%Married *gZZ¡%Single¤bgq÷Sx Passport No. gHegóValid until t^ g åe y m dúQu0W¹p Place of birth—[YeáOðN Religion3u÷‹f[u~{Á‹0W¹p Place of applying for student visaýV¶[ ÎW^ Country citygTf[†S Highest education levelyr•1r}Y Hobbyå]\Obf[`NUSMO OrganizationL€N Occupation,gýV¶[^0W@WŒT5uÝ‹ÿHome address &Tel in your country): U_ÖSåwfN®Ä[0W@W/Address for Letter of Acceptance:(important) E-mail: 5uÝ‹Tel: OwFax: °s gIlí‹4ls^/Your level of Chinese A Beginner B Elementary C Intermediate D Good E Advance HSK€Õ‹¡%§~3u÷‹f[`Nöeô• Study of duration at HUÎNfrom t^Y gM åeD 0Rto t^Y gM åeD1ÿ3u÷‹f[`NNNŒT¹eTMajor and direction(Annex3) you want to study: 2. f[u{|+R/Student Statusÿ ¡%UxëXxvzu/Master s Candidate ¶[^;N‰bXTFamily members ÓY TName sQû|Relation 5uÝ‹ŒT OwTel. & Fax Ï~9egn/Source of Fundingÿ ¡%USYyrI{ýVE–VYf[Ñ‘/USY Special International Scholarship ¡%USYýVE–VYf[Ñ‘/USY International Scholarship ¡%ê9/Self-supporting ,gºN€{†SCurriculum vitae (ÎN'Yf[_ËY, Starting from college ÿ. öeô•ÿt^g t^g ÿ USMO L€¡R From mm/yyyy to mm/yyyy Organization Position ¨cPƒºNRecommenderÓY T Nameå]\OUSMOŒTL€¡R Organization & occupationT€û|5uÝ‹ Tel: ¯‹0W@W Mailing address 3u÷‹ºNÝOÁ‹: (1) NðTy˜-N@bÐc›O„vÅ`µQ/fwž[àeï‹„vÿ (2)àe¯rj°‹U_ÿ (3)(W!hf[`Ngô•uˆ[-NýVÕl‹_ŒTf[!h„vÄ‰àz6R¦^0 I hereby affirm that: (1) all the information above I provided is true and correct; (2) I have never committed a crime; (3) I shall abide by the law of China and regulations of University of Sanya while studying at USY. f[u,gºN~{W[/Applicant's signature åeg/Date: èl a: ÷‹3u÷‹ºN(u-N‡ebñ‚‡enZi0WkX™QåN NTy˜0 NŒ[te„v3u÷‹hˆb*g cgq‰BlÐc¤N gsQD™e, \ïSý€ö^ï‹¨`„v3u÷‹×Stöeô•0 Note: Please fill out all the information requested. Please write None if not applicable. 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