汉语课程学习申请表.docVIP

汉语课程学习申请表 APPLICATION FOR PKU-LSE SUMMER SCHOOL CHINESE LANGUAGE COURSE 姓 名 NAME 英文 IN ENGLISH / / First name Middle name Last name 中文 IN CHINESE (optional, if already have name in Chinese) 国籍 CITIZENSHIP 性别 SEX □男 □女 M F 暑期学校课程 COURSE OFFERED IN SUMMER SCHOOL WEEK ONE ? MON TUE WED THU FRI ? ? ? 1 HOUR 1.5HOUR WEEK TWO ? MON TUE WED THU FRI 1.5HOUR 1.5HOUR 1.5HOUR 1.5HOUR 1.5HOUR Sample of Chinese course schedule, ten hours in all. 电子邮件地址 EMAIL ADDRESS @ 所在学校或单位 University/Employment 职业或身份 Occupation/Status 受教育经历 EDUCATION 教育水平 EDUCATION LEVEL 起止时间 INCLUSIVE DATE 学校名称 NAME OF THE SCHOOL 备注 REMARKS □ 高中 High school diploma / / □ 专科 Some college / / □ 大学本科 Bachelors degree / / □ 硕士研究生 Masters degree / / □ 博士研究生 Doctorate / / 工作经历 WORKING EXPERIECE 起止时间 INCLUSIVE DATE 单位名称 PLACE OF WORK 职位 POSITION / / / / IMPORTANT NOTICE: 1. Please note that this course is for beginners only. 2. Student should send this form no later than 26th June, 2015 by fax or email and pay the full amount course fee 500RMB on the day of 9th August 2015. 3. For student who decides to withdraw before 9th August, 2015 after submitting this form, he/she is responsible for paying 200RMB for compensation. 4. The course has to be cancelled if the total number of registered students are less than 15. If you wish to withdraw from the course the following refund policy will be applied: On or before the first class 300RMB refund of 500RMB After the first class 200RMB refund of 500RMB After the second class No refund 申请人保证: (1)上述各项中所提供的情况是真实无误的; (2)在校学习期间遵守中国政府的各项法规和学校的规 章和制度. I hereby affirm that: (1) All the information above I provided is true and correct; (2)I shall abide by the law of Chinese G