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: | |???????? (??????? “? ”? “? ”) | |Do you have any of the following diseases(Each item must be answered “Yes” or “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 | | |

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