ShanghaiTech International Visiting Student Application

Personal Information

First name

Last name

Date of birth(DMY)

Nationality

Passport no.

Gender

Status

Ph.D  Master  Bacherlor  

Home institution

Advisor

School/Department

Mobile phone no.

Email

Address

Emergency contact and phone no.

Research/Study Plan

Starting date(DMY)

End date(DMY)

ShanghaiTech hosting School/Institute

ShanghaiTech advisor

Purpose of visit

research  taking courses  (请至多选择2项)

Please specify the research topic that you intend to work on,or the courses that you intend to take

Funding resource(Please specify)

signature

Date

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