留学类居留许可资格面谈记录.doc

留学类居留许可资格面谈记录Qualification Interview for Residence Permit for Study注意： 此表为审批重要依据之一，申请人须如实填报并承担相关责任使用黑色笔墨，工整填写NOTE: This form is very important for your application. You shall complete it with BLACK ink truthfully and neatly and shall be responsible for the information you provide.I. 个人信息Personal Information姓名full name性别sex出生日期date of birth出生地place of birth国籍nationality护照passport No.护照签发地及有效期（of passport）place of issue_____________ & expiry date _____________ 签证种类visa type签证号码visa No.签证签发地(visa) issued at签证有效期至(visa) valid until入境次数entry(s)最近一次入境口岸及时间port & time of last entry ____________ &_______________ 入境后可停留天数permitted days of stay after entry婚姻状况marital statussingle单身□ married已婚□ divorced离异□ widowed鳏居□ separated分居□ 在深圳就读学校名称Full name of your present institution of learning in Shenzhen: 上述学校地址及联系Address and phone number of the above institution:本人在深圳住址及联系Your address and phone number in Shenzhen and e-mail address: Add:Tel: E-mail:语言能力language ability语种languages熟练程度proficiencyfluent □OK □fluent □OK □fluent □OK □II. 家庭信息Family Information 姓 名 full name 性别sex出生日期birth date关系relationship国籍nationality职业occupation此外，如果有家庭成员随行，或者有直系亲属在华居住或工作，请提供他们的姓名、与本人关系、工作单位或住址。

Besides, if you have any accompanying family members or immediate relatives in China, what is their status or address in China? （Go to next 3 pages后续三页）Policeperson in charge经办民警签名：6. 列出你曾经就读的主要院校（高中以上）List all major educational institutions you have attended (senior high school and above). 院校名称institution 专业major在校时间time(yymm—yymm)学校地址(精确到市)location (specific to city)1. 你计划在该校学习多长时间？How long are you going to study at the said college/school?2. 说明你的求学性质，例如是否语言进修、本科教育、研究生教育，等等Specify what kind of study you are going to pursue here, e.g. language training, undergraduate study, post-graduate study, etc.3. 此次学习结束后你有何打算或计划？What do you plan to do after you finish this study program? 4. 你将以何种方式解决就读期间的经济开支？How are you going to finance your study here?2 - 2 （留学类） 。