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Chinese course: How we can help: Qingdao: Culture and Travel:
Application

Add.: No.8166 Room, 1 st Foor, International Center of Academic Exchange Building, QingdaoUniversity, 308 Ningxia Road, Qingdao University, Qingdao, Shangdong , China  
E-mail:hanyu@qdjinghua.com.cn
WEB: www.qdjinghua.com .cn
Web:http://www.qdjinghua.com.cn

Personal Details (please complete this form in BLOCK CAPITALS )

Family Name: First Name:
Date of Birth: / / (day/month/year) Sex: Male Female
Passport Number: Age:
Country of Citizenship:
Occupation:
Your Home Address:
Telephone Numbers: Facsimile:
What course are you applying for (Mandarin, English or Combination)?
Start Date: Finish Date:
What are your hobbies and interests?
Have you studied English / Mandarin before? Yes No
(If “yes”, please specify language and for how long? )
Level of Achievement:

English: Beginner Elementary Intermediate Advanced
Mandarin: Beginner Elementary Intermediate Advanced

Do you hold any certificates for your language study: Yes No
(If “yes”, please forward photocopies. )

Please give details of any university education:
How did you hear about us?
You must arrange your own visa. Please indicate what type of visa you have. L F
Accommodation
Please specify the type of accommodation you would like to book
Guest House single 1 Guest House Twin –share 1 If meals included Yes No
Hotel/Hostel

I would like accommodation from / / to / / (day/month/year)

Personal other information

Do you smoke? Yes No

Do you suffer from any allergies? Give details.
I understand that by completing this form and forwarding fees for accommodation to the College, I am giving permission to the College to administer accommodation payments on my behalf from the College's “Special” account that protects my fees until they are used.
Flight Arrival Information
Do you want us to arrange an airport transfer? Yes No

Date of arrival / / Local arrival time in Qingdao : hrs
Flight No. (e.g. MU 562) Arriving from

Please note that we need your flight number. The Meeting point is the International Arrival/ Domestic Arrival Gate. Full details with contact numbers will be sent with your confirmation.

The College collects your personal information to assist in providing the course and services you have requested.

If you do not want your information to be used for any other purpose please tick the box.

I have read, understood and agreed to the terms, conditions and refund policy of the College as outlined. Signature: Date:

Parents/Guardian signature if student is under 18 years of age.

 

Tel.: 0086-532-8111 2277 Fax: 0086-532-8595 0972 Email: hanyu@qdjinghua.com.cn
Add.: No.8166 Room, 1st Foor, International Center of Academic Exchange Building, Qingdao University, 308 Ningxia Road, Qingdao, Shandong , China
E-mail:hanyu@qdjinghua.com.cn WEB: www.qdjinghua.com.cn