ࡱ>   !"#$%&'()*+,-./0123456789:;<=>G@ABCDEFOHIJKLMNRoot Entry F&J@SummaryInformation(LDocumentSummaryInformation8 `WordDocument9~ Oh+'0, < H T ` lxWSN;Sy'Yf[egNSYuf[ueQf[3uhUserNormalĞO3@7;O@=b@D&J@J5<*=WPS Office_11.1.0.10463_F1E327BC-269C-435d-A152-05C5408002CA՜.+,D՜.+,d    China $" 0t|KSOProductBuildVerICV2052-11.1.0.10463!4EF8F5E8889D49D9A90237D9CC11C6AC0Table?Data WpsCustomData PL#KSKS9~ {  8e $g h VPp" 8  vWS;Sf[bVEf[uUxX eQf[3uh Wannan Medical College Application Form for International Students(Master's Program) bgq(u TName on passportY/Family name-Ne TChinese namegq Gr Photo  T/Given nameV M| NationalityQu0Wp Place of birthQueg Date of birtht^ g e: YY-MM-DD:7u %Male sY %Female]ZZ%Married *gZZ%SinglebgqSx Passport No. [Ye Religiongؚf[S Highest educationsLN Current or latest occupationsf[!hb]\OUSMO Current or latest school or employerXY8lEN0W@W/Full non-Chinese permanent postal address: 5u݋/Tel: Ow/Fax: E-mail:U_SwfNc6e0W@W/Address to receive the admission package, if different from above: 5u݋/Tel: Ow/Fax: E-mail:4ls^ _}Y/}Y/N,/R~ Language Level (Excellent/Good/Fair/Elementary)Il4ls^Chinese Level HSK score  English Level TOEFL score IELTS score 3uNN/Major applied for: %Clinical Medicine %Preclinical Medicince (Biology %Public Health and Preventive Medicine (Pharmacy,gN{S(Nؚ-N_Y)/Curriculum vitaeStarting from high school USMO et^/g  t^/g LR Previous and current educational institute & employer years attended(from/to) Position [^;NbXT/Family members Y T/ Name sQ|/ Relation 5u݋/ Tel. bONbONSN/f6rkbNb gS VM| NP, FOf[u NZPbON Emergency contact (Can be a parent or relative of the applicant, out of China, or in China. Students cannot be the contact) Y T/ Name: VM|/ Nationality: N,gNsQ|/Relationship to the applicant: 8lEN0W@W/Permanent Mailing Address: USMO/ Name of employer: 5u݋/Tel: (OO[/home) (RlQ[/office) Ow/ Fax: E-mail:  3uNbOI hereby affirm that `$ NTy-N@bcOv`Q/fw[ev All the information given in this form is true and correct. a$ (W-NVf[`Nxvzg\u[-NV?e^vl_TvWS;Sf[bvĉz6R^ I shall abide by the laws of the Chinese Government and the regulations of Wannan Medical College. b$ cSvWS;Sf[b[f[`NNNT zv[c. 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