在线报名
黑龙江中医药大学短期研修入学申请表
HeiLongjiang University of Chinese Medicine Application Form for Short-term Study and Training
姓名
Name

Family Name

Given Name
国籍
Nationality
护照号码
Passport No
性别
Gender
婚否
Marital Status
出生日期
Date of Birth(D/M/Y)
出生地点
Place of Birth
最高学历
Highest Academic Degree Attained
宗教
Religion
职业
Occupation
国籍所在地通讯地址
Mailing Address in Original Country
国籍所在国电话或传真号码
Telephone or fax number in Original Country
电子邮件
E-mail
申请课程
Program for Application
学习时间
Time of Study or Training
中医 Traditional Chinese Medicine (TCM)
针灸推拿 Acupuncture, Moxibustion and Tuina
其它 other
学习起止自日, 为期
My study will begin fromD M Y, and will last fordays
学习方式
Style of Study
理论课 临床实习 理论课+临床实习
学习经历 Education Experience
时间
Time
学校名称
Name of School
专业
Major
学位
Degree
我在此保证在中国学习期间遵守中国的法律和学校的规章制度。
I hereby guarantee that I shall abide by the laws of the Chinese government and the regulations of Heilongjiang University of Chinese Medicine
黑龙江中医药大学短期研修入学申请表
Application form for short term study in Heilongjiang University of traditional Chinese Medicine
上传头像 Upload Avatar
性别 Gender
婚否 Marital Status
申请课程 Program for Application
学习时间 Time of Study or Training
My study will begin from / / (D/M/Y) and will last for days. 学习起始自日,为期
学习方式 Style of Study
教育经历 Education Experience