*个人照片

*Personal Photo

护照姓 护照名
Family Name(as on Given Name (as on
passport) bourzama passport) ayoub
中文姓名 *性别 ✘ Male
Chinese Name (if *Gender Female
available)
*婚姻状况 *国籍
*Marital Status *Nationality
single Moroccan
*出生日期 *出生国家
*Birth Date *Country of Birth
29/01/2006 morocco
*出生地点 *母语
*Place of Birth (City, *Native language
Province) Errachidia
Arabic
*最后学历 *宗教信仰*Religion
*Highest Level of Islam
Education Baccalaureate
degree
*工作或学习单位 *职业
*Current Employer or *Occupation
School Name Manarat tafilalte student
健康状况 ✘ Normal 是否从中国大陆或港 Yes
Health Status Abnormal 澳台地区移民 ✘ No
Emigrant from
mainland China, Hong
Kong, Macau, and
Taiwan?
特长爱好/特殊才艺
Hobbies/ Special Talents football
 Personal Information

证照信息 Passport and Visa

护照号码 （申请中） Yes

Passport No. under applying?

护 照 到 期 日 期
Passport Expiry Date

入境次数 逗留时间（月） 签证类型 原因

Entry No Duration(months) visa type Reason
最近三次入境
1
签证记录
3 Recent Visas 2
to China
3

来华经历 Experience in China

是否在华学习过
YES ✘ NO
Ever studied in China before?

If yes, please provide below information as well:

Chinese University Name

Time period Year Month Day - Year Month Day

Study Program Bachelor 、Master 、PhD Chinese Language

Name:
Contact Teacher
Phone Number: +86

违法违规记录 Illegal Record

*你是否有违法违规记录
YES ✘ NO
*Have you ever had any illegal record?

If you choose YES, please contact your consultant for further explanation
 Study Plan in China

汉语能力
Chinese Proficiency

*汉语水平 无、差、较好、好、很好
*Chinese
noon 、poor 、fair 、good 、excellent
Proficiency

HSK 成绩 分数
HSK Level Score

HSKK 成绩 分数
HSKK Level Score

英语能力
English Proficiency
*Language
noon 、poor 、fair 、good 、excellent
Proficiency
TOEFL GRE
GMAT IELTS

其他语言能力
Other Language Proficiency

申请学历类型 Bachelor 、Master 、PhD

Apply Program Chinese Language
English
授课语言 学习专业
Chinese 建筑学
Teaching Language Either Major
 Education & Employment Background
Personal Experience
*Need to fill complete experience without omission.
*From high school degree to present, without gaps more than 3 months
*Other experience, choose 其他 Others and fill your experience in details.

*经验类型 *开始时间 *结束时间 *工作或学习单位 职务及职称 / 专业或所获

*Experience Type *Month/Year *Month/Year *Employer or 证书
Attended Attended (To) School Name Position& Title / Field of
(From) Study & Diploma received
✘ 教育 Education

工作 Working
其他 Others
教育 Education
工作 Working
其他 Others
教育 Education
工作 Working
其他 Others
教育 Education
工作 Working
其他 Others
教育 Education
工作 Working
其他 Others
教育 Education
工作 Working
其他 Others
教育 Education
工作 Working
其他 Others
教育 Education
工作 Working
其他 Others
 Other Necessary Information

*家庭成员 *姓名 *年龄 *电话 电子邮件 *职务 *工作单位

*Family *Name *Age *Phone Email *Position/ *Employer

Members Number Job Title Name
Father

Mother

(Other
members)

家庭情况 Family Status

经济担保人或机构 Financial Guarantor

担保人姓名 Guarantor 担保人地址

Name Detailed Address

ID/护照号码 与申请人关系

ID/Passport Number Relationship with

Applicant

担保人电话 电子邮件

Tel Number Email

工作单位 工作职位

Employer Name Job Title/Position

紧急事务联系人 Emergency Contact in China

*姓名 *手机

*Name *Mobile Number

*与申请人关系 *电子邮件

*Relationship with *Email

Applicant

工作单位 *地址
 Employer Name *Detailed Address

Personal Contact Info

海外家庭住址 Overseas Home Contact Info

*街道地址*Street *电话 0771470257

Address (Detailed) *Phone Number

*省/城市*City/ 手机
Province Errachidia Mobile

*国家 *邮编
*Country Morocco *Zip Code
52003

个人当前联系方式 Current Personal Contact Info

(Can leave this part if your current address equals to above home address)

个人邮箱 Bourzamaayoub6000@ *邮编 52003

Personal Email gmail.com *Zip Code

*电话/手机*Mobile/ 0771470257 *地址

Phone Number *Address

WhatsApp 账号 0771470257 微信账号

WhatsApp No WeChat No