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Application and Enquiry Form

*Required fields

Student Details

1. *Family Name:
2. *First Name:
3. *Date of Birth:
4. *Place of Birth:
5. *Gender:	Male Female
6. Martial Status:	Married Single
7. Passport No:
8. *Email:

9. *Permanent Home Address:
*Street
*Town/City
*State/Province
*Country
*Postal Code

10. *Telephone:	(Country) / (Area) / (Number)
11. Fax:	(Country) / (Area) / (Number)

12. *Country of Citizenship:

13.Current Mailing Address if Different From Permanent Address:
Street
Town/City
State/Province
Country
Postal Code

14. Telephone:	(Country) / (Area) / (Number)
15. Fax:	(Country) / (Area) / (Number)
16. Email:

Family Details (for under the age of 18)

17.Name of Father:
Family Name
Given Name

Occupation:
Telephone:	(Country) / (Area)/ (Number)
Fax:	(Country) / (Area) / (Number)

18.Name of Mother:
Family Name
Given Name

Occupation:
Telephone:	(Country) / (Area) / (Number)
Fax:	(Country) / (Area) / (Number)

Educational Background

*Highest Academic Degree
Primary:	Year 1—6
Junior:	Year 7 Year 8 Year 9
Senior:	Year 10 Year 11 Year 12
Bachelor
Master

Name of School/University Presently Attending:

Dates attended:

From:

To:

Recent Work Experience (if any)

Job Title:

From:

To:

*Language Proficiency (Excellent /Good/Fair/Beginner)

Reading

Speaking

Listening

Writing

Chinese

English

*Check the appropriate box to indicate the number of Chinese Characters you have learned

None 500-under 500-1000 1000-2000 2000-3000

3000-4000 4000-5000 5000-over

*I have taken HSK test:

Yes

Date:

HSK certificate level:

Your native language:

* China Study Plan

Planned Start Date in China :

Planned Finish Date in China :

The highest qualification I wish to obtain in China is:

Any Inquires:

I wish CWEHS to assist me to select a school or institution and apply the following course of study:

I am also registering with CWEHS for Accommodation :

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