English Name:
(Surname, Given name)

Chinese Name:
(optional for international participant )

Age:
(optional)

Gender: male        female

Academic Affiliation:

Postal Address:

Current position:   Professor     Associate professor Lecturer
Graduate student     Undergraduate student

Email:

Mobile or landline:

How are you going to support youself if you are self-funded:

Applying for scholarship: yes        no

Research interests:

Thesis and selected publications:

TOEFL:

IELTS:

Other English certificate:

Title and Specialization:

Institution:

Other Information:

Title and Specialization:

Institution:

Other Information:

Could you please write one paragraph (within 100 words) to explain why you are interested to attend the school'? :

Name:

contact details: