邢唷> 欹g 餜xbjbjVV@r<r</bbbbbvvv8:tvj*l"6)))))))$+.l)ubFFF)bb4$*F$F$F$Fbb)F$F)F$F$y&&爔r躨釹 "&u):*0j*&,.!<1&.1$b&FFF$FFFFF))>"FFFj*FFFF1FFFFFFFFF,(: TNm'Yf[Y齎Yuf[u鶴齎僗 3u鲖h TONGJI UNIVERSITY GOING ABROAD APPLICATION FORM FOR INTERNATIONAL STUDENTS @b(W鹼(b0@b) DEPARTMENT {|+R LEVEL%,g褃u BACHELOR %Ux隭xvzu MASTER %ZS隭xvzuPhD 覻 TName'`+RGenderf[鱏 Student No.gqGr PHOTOgq鱏x Passport No.鶴u錯g Date of Birth齎M| NationalityEmailT鹼5u輯/Kb:gTel./Mobile No.E\OO0W@W Address in China(WY\PYu0W@W Address of Host Organization鶴繈匭筟 Purpose of visit % 蘏f[MOy橆vAm Double-degree exchange program % f[R扤bcy橆vAm Credit Transfer Exchange Program % CSC;e麐ZS隭f[MOy橆v CSC Ph.D Academic Exchange Program % CSCTT鵚{QZS隭uy橆v CSC Joint training Ph.D program % CSCUx隭uy橆v CSC Master Program % CSC,g褃u CSC Bachelor Program %vQ僛 Others (Specify) % 瀃`N Internship % f[/gO畫 Scientific Conference % 韜gAm Short-term Exchange % 鵚瓔 Training % TT緥 Collaborative Research % 韜g繈f[ Short-term Visit % 慺琎銷% Summer/Winter School % 耂燫詋[ Participate in a competition % 褃f[遊 Scientific Study/Research 鶴繈齎禰b0W:S Destination Country or Region 10鶴繈gP Duration of Stayt^ g 錯髞 t^ g 錯 YMD to YMD愾婾SMO T饄 Host Organization 愾婾SMO-N噀 T饄20 t^ g 錯髞 t^ g 錯 YMD to YMD愾嫼N酧o` Contact Person s Information愾嫼N覻 TL0W@W蔛T鹼筫_30t^ g 錯髞 t^ g 錯 YMD to YMD 鶴繈9(u Fees 鶴D峌SMO Source of Funding !h匭蟸9 On-campus Fees!hY蟸9 Off-campus FeesUSMO蟸9 Department Fee褃x蟸9 Research Fee愾嫻e Host Organization僗YvQ諲USMO Other Organization陙t Self Supporty橆v T饄 Program Titley橆v T饄 Program Title>ky Items齎E柵e9岮irfare僗YOO縖9岮ccommodation僗Y9峂ealslQ Bg 9岮dditional Expenses*N篘鰱(u9峆ersonal Expense!hY蟸9嶗嬫嬈~魦f鶴D峌SMO T饄,0T鹼篘b鶴D嵑N 05u輯00W@W蔛N,g!k鶴繈剉sQ鹼I{0 If funding is from host organization, please specify its name and contact information (address, phone). yba翂 Official Approval黐^a翂 Supervisor s comments ~{W[ Signatureb0鹼0@bL?ea翂 Department: ~{W[ 講鄗 t^ g 錯 Signature Seal YMD: xvzub桖W{QYT嶯鶴齎僗6*Ng錘 N / YeYa翂 Graduate School (only if the duration of visit is 6 months or more)/Undergraduate Teaching Office ~{W[ 講鄗 t^ g 錯 Signature $ 鈷暑輔槇槇x槇naTGT:TGhhA/OJQJ^JhhNOJQJ^JhhA/OJQJ^Jhh nOJQJ^Jh OJQJ^JhhN5丱JQJ^JaJhh5丱JQJ^JaJhh5丱JQJ^JaJhhjfa5丱JQJ^JaJ#h-hN5丆JOJQJ^JaJ "hjfahA/5丆J OJQJaJ o("hjfah5丆J OJQJaJ o("hjfah13;5丆J OJQJaJ o($JV X [kd$$IfT杔4)0k d* 0)44 laf4yt{奣$$Ifa$gd眞 $Ifgd$a$$a$gdEj " & 0 2 @ B L R T V X ^ h l | 篋囅腆刻攙煇nn__REhhOJQJ^JhhOJQJ^JhCJOJQJ^JaJo( hhCJOJQJ^JaJ hhCJOJQJ^JaJhCJOJQJ^JaJo($hhCJKHOJQJ^JaJhhNOJQJ^JhhOJQJ^Jhh眞OJQJ^Jhh3?OJQJ^Jhh3?OJQJ^JhhOJQJ^JX f h z | $d$Ifa$gd kd$$IfT杔4 譃"d*V$n0)44 laf4ytw69奣 ( * , : B D H f h l n v 碥思塑塑睡硭〖睡韥raTA$hh#YCJKHOJQJ^JaJhh#YOJQJ^J hh#YCJOJQJ^JaJh#YCJOJQJ^JaJo( hh#YCJOJQJ^JaJhCJOJQJ^JaJo(hCJOJQJ^JaJhhOJQJ^JhCJOJQJ^JaJo( hhCJOJQJ^JaJ hhCJOJQJ^JaJ$hhCJKHOJQJ^JaJ & ( * $$1$Ifa$$$Ifa$gd篏$d$Ifa$gd * , kd$$IfT杔45譃"d*V$n0)44 laf4ytw69奣, 8 : h j l $$1$Ifa$$d$Ifa$gd#Y $Ifgdt*$$Ifa$gdl n D5' $$1$Ifa$gd$d$Ifa$gd#Ykd$$IfT杔4攈謗"d*V.0)44 laf4ytw69奣 &(}n` $$1$Ifa$gd$d$Ifa$gd#Ykd$$IfT杔4敮0d*0)44 laf4ytQ奣 &(*.04Z\^` " V X Z 癧銥慘慘儝儝儝儝儝儝tc扱挘拑#h#Yh#Y>*CJOJQJ^JaJ h#Yh&CJOJQJ^JaJh#YCJOJQJ^JaJo(h&CJOJQJ^JaJo( h#Yh#YCJOJQJ^JaJh!CJOJQJ^JaJo(hh#YOJQJ^J$hh#YCJKHOJQJ^JaJhh#YOJQJ^J hh#YCJOJQJ^JaJh#YCJOJQJ^JaJo((*06Z\ X Z }ttthhhhhhhhdd$Ifgd& $$Ifa$kd;$$IfT杔4敁0d*0)44 laf4yt奣Z 28:$dd$Ifa$gd&dd$Ifgd& 46XZ68:<J癧癧癧癧癧癧癧鋅瑹挓挓拋p乸乸乸乸乸乸 hhvCJOJQJ^JaJ hhvCJOJQJ^JaJhhvOJQJ^JhhvOJQJ^J$hh#YCJKHOJQJ^JaJ h#Yh!CJOJQJ^JaJh#YCJOJQJ^JaJo( h#Yh#YCJOJQJ^JaJh&CJOJQJ^JaJo(%:<NmYYP<<$剄剄$If]剄^剄a$gd{ $Ifgdv$剄剄$If]剄^剄a$gd癵Okd$$IfT杔敃諪nd*V0)44 layt奣Vh $Ifgd腘$$Ifa$gdv劥$IfWDd`劥gdv$IfWD`gdv"0Vfhjnpvx|~468<>BDHJNPRT\鏞暇乼gt蘧蘧蘧蘧蘧蘧蘧蘧乼gt蘧蘧蘧蘧hhvOJQJ^JhhvOJQJ^J$hhvCJKHOJQJ^JaJ)hhvB*CJOJQJ^JaJph櫃)hhvB*CJOJQJ^JaJph櫃 hhvCJOJQJ^JaJhvCJOJQJ^JaJo( hhvCJOJQJ^JaJ hvhvCJOJQJ^JaJ(hjl2!$剄剄$If]剄^剄a$kd$$IfT杔4+謭k Kn"d*V#Z0)44 layt{奣lrtv6 $Ifgdc^$$Ifa$gdv劥$IfWDd`劥gdv$IfWD`gdv $$Ifa$$If $Ifgdv68:2!$剄剄$If]剄^剄a$kd$$IfT杔4謭k Kn"d*V#Z0)44 layt{奣:@Bl $Ifgdc^$$Ifa$gd沠*劥$IfWDd`劥gdv$IfWD`gdv $$Ifa$$If\^bdhj"DFHP鏞鏞鏞鍔東瀾瀾啈{n唟憺憺慬慗 h!h篏CJOJQJ^JaJ$hh篏CJKHOJQJ^JaJhh{OJQJ^Jh{OJQJ^Jo(h!OJQJ^Jo(hh篏OJQJ^Jhh篏OJQJ^Jh!OJQJ^Jo($hhvCJKHOJQJ^JaJ)hhvB*CJOJQJ^JaJph櫃 hhvCJOJQJ^JaJ hhvCJOJQJ^JaJ2剝勼$IfVD,WD^剝`勼齡d烶(kd+$$IfT杔4旣謭k Kn"d*V#Z0)44 layt{奣$D $$Ifa$$$Ifa$gd腘$$Ifa$gd{$$Ifa$gd!剝剹$IfVDWD^剝`剹gd觲(剝勁$IfVDWDj^剝`勁d! 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