Beijing University of Chemical TechnologyBUCT

International Exchanges and Cooperation Department, Beijing University of Chemical Technology, Beijing 100029, China Tel: 00 86-10- 64434754, 64451480- Fax: 00 86-10-64423610, E-mail faoffice@mail.buct.edu.cn

APPLICATION FORM FOR ADMISSION TO UNDERGRADUATE OR GRADUATE PROGRAM OF BUCT Passport Full Name (English): Name Full Name (Chinese): Photo
Nationality:

Marital status:

Single Married Divorced

Passport No.

Passport valid until

Date of Birth: Highest Educational Degree Achieved:

Place of Birth: Sex:

Occupation or Status:

Where do you work or which school do you study before you come to BUCT:

Permanent Mailing Address and Tel:

How do you know BUCT?

E-mail: @ Program you apply for: Religion: (1) Undergraduate Program (2) Masters Program (3) Doctors Program (4) General Scholar (5) Senior Scholar The major you would like to study in: Education Background: Institute Years Attended The date you would like to enroll: Fields of Study Diploma or Certificates Obtained

Employment Record:


Beijing University of Chemical TechnologyBUCT
International Exchanges and Cooperation Department, Beijing University of Chemical Technology, Beijing 100029, China Tel: 00 86-10- 64434754, 64451480- Fax: 00 86-10-64423610, E-mail faoffice@mail.buct.edu.cn

Employer

Dates attended(from/to)

Work Engaged

Position

Language Proficiency: Chinese Excellent Good English Excellent Good

Fair Fair

Poor Poor

None None

/Only for Masters or Doctors Degree Candidate Publications

Study Plan

/Family Members of the Applicants: / Name / Age ___________ ___ /Spouse: ___________ _ ___________ ___ /Father : ___________ _ ___________ ___ /Mother: ___________ _ how many children:
The address and telephone of financial supporter:

/ Employment ___________ _ __ ___________ _ _ ___________ _ __

(1) Self-Supporting (Full or Partial):

(2)
Name of Scholarship, Full or Partial:

Guarantor's Name & AddressTel:

Sponsor for Scholarship:

Guarantor's Signature:

The Conformation of Sponsor:

, Person or Agency that act in your Behalf in China: Address & Telephone:


Beijing University of Chemical TechnologyBUCT
International Exchanges and Cooperation Department, Beijing University of Chemical Technology, Beijing 100029, China Tel: 00 86-10- 64434754, 64451480- Fax: 00 86-10-64423610, E-mail faoffice@mail.buct.edu.cn

Current Correspondence Address/Telephone:

/ hobby and/or special skills: (Whether book the dormitory of foreign student):
Yes No

Please send with this form 1 /An official certificate of your highest education ( notarized photocopy) 2 /An official transcripts (notarized photocopy) 3 / Statement of your research plan 4 /Two letters of recommendation(original) 5 /One photocopy of your passport 6 HSK your HSK certificate 7 the catalog of the publications and research achievements 8 /the Application fee Note: Please mail the completed Application Form to the University as soon as possible. An Admission Notice and a Visa Application Form (JW202 Form) will be forwarded to you only when your application made it successfully through the selection process. Date: Applicants Signature:

Wish Your Application Successful