Eastern Dynasty Education & Culture Center INFORMATION FORM FOR STUDYING IN CHINA

东方神州留学申请表

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Email *
1.  Personal Information
Family Name *
Given name
*
Date of birth
*
MM
/
DD
/
YYYY
Gender *
Nationality *
Religion *
ID/Passport No. *
Native language *
English proficiency
*
Chinese proficiency *
Name of organization (for high school graduate currently at work)
*
Mailing address
Telephone
*
2nd Telephone
Email *
2nd Email

2. Plan of study in China:

Degree/Diploma target: 

*
Planned duration of study:
*

Field and major of study:
Field of study: *
Major of study: please list 3 preferred majors, putting yourmost preferred majors in front.
(Clear and detailed descriptions can facilitate accurate and individualized selection of university and major)
Major No.1 *
Major No.2 *
Major No.3 *
Teaching language preference: 
*
Place and city preference for studying
(Living costs in bigger cities are usually higher than smaller ones )
Place and city preference for studying
*
3.  Finance and Budget:  
Estimated budget per year:  (including tuition, dormitory, food and other personal expenditure:)
*
Estimated total budget for the complete duration of study in China:
*
Source of financial support:
*

If a Scholarship is chosen, how much percentage of the tuition fee would you expect it to cover?

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Guarantor in China
Do you have a guarantor in China? *
Guarantator information
Name
Telephone
E-mail
Financial document (bank statement/deposit certificate) provider:
*
Provider informtion:
Telephone
Email
IMPORTANT NOTE: 
I hereby affirm that: All information and materials given in this form are true and correct.
*
Required
DATE *
MM
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DD
/
YYYY
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