<p> ] Application Form for Foreigners to Study in Xidian University , Xi ’an, China</p><p>Name： Family Name Given Names Sex：</p><p>Nationality： Passport No.： Marital Status： Photo</p><p>Date of Birth： year month day Place of Birth：</p><p>Occupation： Highest Academic Degree Obtained: Religion：</p><p>Employer or Degree Obtained：</p><p>Mailing Address：</p><p>Duration： From Yr. Mo. To Yr. Mo.</p><p>Educational Background：</p><p>Present Level of Chinese</p><p>Check the appropriate box to indicate the number of Chinese words you know. A None B about 200 C about 600 D about 1000 E over 2000 Program applied for:</p><p>1. major 2. Non-degree courses ① Primary Chinese Class ② Intermediate Chinese Class ③ Advanced Chinese Class ④ Preparation for University 3. Degree courses ① Bachelor (4 years) □ ② Master(2.5 years) □ ③ Ph.D. (3-5 years) □  International students, who will study their major in Chinese language, need to pass HSK certificate level 3-6. Source of Funding： Scholarship □ ； Self-supporting □ ； Other □ </p><p>Financial support will be provided by：</p><p>Reference：</p><p>I here by affirm that： 1. All the information in this form is true and correct; 2. I shall abide by the laws of the Chinese Government and the regulations of the university.</p><p>Signature of Applicant： Date：</p>