Full Name:

Chinese Name:

Gender:

Nationality:

Health Condition:

Date of Birth/Place:

Type of Passport:

Passport No./Valid Until:

Type of Visa:

Visa No./Valid Until:

Occupation:

Which Languages You Can Use:

Educational Background:

Employer or School Affiliated:

Certificates or Degrees Obtained:

Current Address:

Telephone No. in China:

E-mail Address:

MSN Address:

Present Level of Chinese:

Expected Duration of Study in China: