Peking University
College of Engineering
APPLICATION
北京大学工学院
for
2015 Globex Julmester (CUHK Extended Deadline: 13 April 2015)
To apply, complete this Application Form for 2015 Globex Julmester, and International Student Application for Short-Term Studies
together with a copy of your transcript and HKID card to Ms. Florence Au, Faculty Office of Engineering at [email protected]
The application forms must be TYPED and submitted in WORD format by the deadline of 13 April 2015.
PERSONAL INFORMATION
Name
(as in passport)
Chinese Name
(if available)
Gender
Date of Birth
(dd.mm.yyyy)
Place of birth
(city, country)
Citizenship
(country)
Passport No
Passport Expiry Date
(dd.mm.yyyy)
Native Language
Home Address
(address in full)
Cell Phone
(country code/area code)
Arrival Date
(to Beijing)
Departure Airport & Date
(for your flight home)
1 July 2015 (TBC)
31 July 2015 (TBC)
Insert electronic copy of
your photo
EMERGENCY CONTACT INFORMATION
Name
Relationship
to You
Cell Phone/Email
Address
(if different from home address)
ACADEMIC INFORMATION
Home University & Department
Academic Status
Program and Year of Study
COURSE SELECTION (Suggest a max of 2 courses)
Course
China Economy A (without Field Trip A – 2
credits)
China Economy (with Field Trip A – 3
credits)
China Past & Present A (without Field Trip,
2 credits)
China Past & Present (with Field Trip, 3
credits)
Instructor
Susan Mays, University of Texas Austin,
Susan Mays, University of Texas Austin,
David Sena, University of Texas Austin
David Sena, University of Texas Austin
Bioinformatics
Li Liao, University of Delaware, Newark
Smart Materials and Structures
Hani Naguib, University of Toronto, Toronto,
Speech and Audio Processing: Theory &
Applications
Cross-Cultural Design Perspicacity for an
Eco-Responsible Business Model
Bio-Transport Phenomena
Tan Lee, Chinese University of HK
Marc Lucas, Assoc. Dean, Mines Paris Tech
Lidan You, University of Toronto, Toronto
Lecture Frequency
8-10:30 AM, Mo, Tu, Th,
Fr, July 6-24
8-10:30 AM, Mo, Tu, Th,
Fr, July 6-24
2-4:30 PM, Mo, Tu, Th,
Fr, July 6-24
2-4:30 PM, Mo, Tu, Th,
Fr, July 6-24
8-11 AM, Mo, Tu, We,
Th, Fr, July 6-24
8 -11 AM, Mo, Tu, We,
Th, Fr, July 6-24
8-11 AM, Mo, Tu, We,
Th, Fr, July 6-24
8-11 AM, Mo, Tu, We,
Th, Fr, July 6-24
2-5 PM, Mo, Tu, We, Th,
Fr, July 6-24
Click
Advanced Control
Systems
Iven Mareels, Dean, University of Melbourne
Ying Tan, University of Melbourne
Neural Prosthetic Engineering
Sung June Kim, Seoul National University
Computational Multiphase Flows
Eric Climent, Institute of Fluid Mechanics
Dominique Legendre, Institute of Fluid Mechanics
2-5 PM, Mo, Tu, We, Th,
Fr, July 6-24
2-5 PM, Mo, Tu, We, Th,
Fr, July 6-24
2-5 PM, Mo, Tu, We, Th,
Fr, July 6-24
COURSE FIELD TRIP & BEIJING CITY TOUR
Interested to participate in the 3-day Beijing City Tours (about USD 130 per person)
Interested to participate in the 3 Beijing Company Visits (about USD 80 per person)
Interested to participate in Trip B: Xi’an, Luoyang and Shaolin Temple (about USD 600 per person)
Next Step: Complete INTERNATIONAL STUDENT APPLICATION form issue by PKU Office of International Affairs
(Required for processing your visa document, PKU student ID, etc.)
项目类别：
PEKING UNIVERSITY
暑期个人申请
学期个人申请
中国 100871 北京大学留学生办公室 短期项目
Short-term Program, International Students Division
Peking University,
Beijing 100871, China
Tel: 86-10-62757362
Fax: 86-10-62759754
Email: [email protected]
短
期
留
学
申
合作项目
其它
只供录取机构填写
FOR OFFICE USE ONLY
请
表
INTERNATIONAL STUDENT APPLICATION FOR SHORT-TERM STUDIES
姓
名
NAME
英文
IN ENGLISH
/
First name
/
Middle name
Last name
Insert electronic copy
of your photo
中文
IN CHINESE
国籍
性别
CITIZENSHIP
SEX
出生日期
DATE OF BIRTH
永久地址
19
年 月 日
Year Month Day
PERMANENT ADDRESS
街道及门牌号码
Street and number
城市
City
省
State/Province
国家
Country
邮政编码
Zip/Postal code
电话号码
Telephone number
婚否
出生地点
MARITAL
PLACE OF BIRTH
STATUS
通讯地址及电话 MAILING ADDRESS
街道及门牌号码
Street and number
城市
City
省
State/Province
国家
Country
邮政编码
Zip/Postal code
电话号码
Telephone number
电子邮件地址
EMAIL ADDRESS
护照号码
有效期至
PASSPORT NO.
VALID UNTIL
所在学校或单位
职业或身份
University/Employment
Occupation/Status
年 月
20
Year
Student
Month
受教育经历
EDUCATION
教育水平
起止时间
学校名称
备注
EDUCATION LEVEL
INCLUSIVE DATE
NAME OF THE SCHOOL
REMARKS
□ 高中
High school diploma
□ 专科
Some college
□ 大学本科
Bachelor's degree
□ 硕士研究生
Master's degree
□ 博士研究生
Doctorate
/
/
/
/
/
/
/
/
/
/
工作经历
WORKING EXPERIENCE
起止时间
单位名称
职位
INCLUSIVE DATE
PLACE OF WORK
POSITION
/
/
/
/
/
/
经济担保人
FINANCIAL GUARANTOR
姓名
Name
联系电话
Telephone
工作单位和职务
Employment & occupation
通讯地址
Mailing address
推荐人
RECOMMENDER
姓名
Faculty of Engineering, CUHK
Name
工作单位和职务
Employment & occupation
联系电话
Telephone
通讯地址
Mailing address
3943 1149
在华事务担保人
SPONSOR IN CHINA
姓名
PKU College of Engineering
Name
联系电话
010-6275-6184
Telephone
[email protected]
在华事务担保人必须为在中国长期居住并有正当职业者
Sponsor should be a permanent resident in China who is in regular employment
工作单位和职务
NA
Employment & occupation
通讯地址
213 Dian Jiao Bldg,
Mailing address Beijing, China 100871
申请人保证:
(1)上述各项中所提供的情况是真实无误的;
(2)在校学习期间遵守中国政府的各项法规和学校的规
章和制度.
NA
Peking University,
I hereby affirm that:
(1) all the information above I provided is true and correct;
(2) I shall abide by the law of Chinese Government and the
regulations of the university while studying at Peking
University.
Typing in your name acts as your signature
日期(Date)
申请人签字(Applicant’s signature):
注: 申请人在递送本申请表的同时,请提交
(1) 最后学历证明书(公证件)
Attention: Applicants should submit the followings
Not required for
(1)Globex
Official certificate
applicants
of the applicant highest education
(2) 推荐信(原件)
(2) Recommendation letters
(3) 报名费
(3) Application fee