Study Plan for Masters in Surgery

ZSTU worldwide Students Application Form ? (please print) Name Family Name Photo ? (please print) granted Name Nationality Gender Passport No. Valid until ? ? ? Date of origin course of instruction Month Day Marital Status Place of birthing Religious Belief Physical Status Highest Academic Major stop Obtained Current Employer or College Affiliated Occupation Permanent Address Tel. / lively Fax No. E-mail My Contact Information Name Tel. / smooth E-mail Contact on Emergencies Education & Work Experience / clipping for Chinese Learning hours Proficiency of Chinese Language HSK Band of HSK Achieved Preferences of College of poll 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 ? /Bachelors percentage point view ? /Chin ese Language Student ? /Masters tip Candidate ? /General Scholar ? /Doctors Degree Candidate ? /Senior Scholar ? /Scholarship ? /Self-supporting ? /Other Financial bear Name, Tel & Address of the Guarantor Charging Your Case in china /Guarantors Signature Date ( ? ? ? ) Do you have any of the following diseases(Each tip must be answered Yes or No) ? Yes ? No Cholera ? Yes ? No Venereal disease ? Yes ? No Yellow fever ? Yes ? No Lung tebibyte ? Yes ? No Heart disease ? Yes ? No AIDS ? Yes ? No Leprosy ? Yes ? No Mental illness /I hereby confirm that , All randomness and materials given in this form ar true and correct to the exceed 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 t he social order of China and are inappropriate to the capacity as a student. , If Im 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. /Applicants Signature /Date Advice of ZSTU pertinent Offices ) Directors Signature(Seal) /Date Remarks