CHINA MEDICAL UNIVERSITY

Application Form for Foreign Students Intending

to Study in China at Their Own Expenses

Nationality

XXX

Sex
Male

Name

/Family Name
XXX

Place of Birth:

XXX

/Given Name
XXX

Health Conditions

XXX

XXX XXX XXX

Day
Month Year

Date of Birth

Female

Passport
No.

School of Graduation

XXX

XXX (Name of the school)

Religion

XXX or Nil

Marital Status
Yes
No
Last Degree
XXX (High school/Bachelor/Master)

/Employer or Institution Affiliated

XXX (Name of the company or institution where you are currently working or studying) or Nil
Language

XXX

Applying Status

Bachelors Degree MBBS: English

Sep. XXX
Month
Year

Period of Study

Address

Profession
Chinese

XXX
Japanese

Jul. XXX
Month
Year

(Your address and postal code to receive the JW202 form and the admission notice. )

Telephone:
XXX

FAX:
XXX

E-mail:
XXX

Resume


Month Year Month Year

Study or Working Experiences

Status

SEP. 2002---JUL. 2005

XXX (Name of the school where you studied)

Student

AUG. 2005---JUL. 2007

XXX(Name of the company where you worked)

Officer/Assistant/etc

AUG. 2008 TILL NOW

XXX(Name of the school/company where you are

studying/working)

Student/Officer/Assi
stant/etc.

Note: If the space for resume is not enough, you can attach another piece of
paper to continue.
Requirements for filling in the form:

Any foreign citizens, who acknowledge the Constitution and Laws of P.R. China and intend to apply to our
university for study at ones own expense, can fill in this form.
Please print or write clearly and truthfully.

Please send us the filled form together with the documents required in China Medical University Admission
Brochure For Foreign Students, so that we can initiate the process of admission.

If the application form is not truthfully filled in, the application will be rejected.