(中国北京国际针灸培训中心入学申请表)

(中国北京国际针灸培训中心入学申请) APPLICATION FORM FOR CHINA BEIJING INTERNATIONAL ACUPUNCTURE TRAINING CENTER (中国北京国际针灸培训中心入学申请表) Name in full(全名) Sex (性别) Nationality(国籍) Date and Place of Birth(出生时间和地点) Photo Religion(宗教信仰) Place of Work(工作地点) Permanent Address and Tel. No.(永久住址及电话号码) E-mail Fax No. Present Occupation(现在职业):Medical Doctor(医生) ?; Acupuncturist(针灸师)?; Anesthetist(麻醉师)?; Nurse(护士) ?; Medical Student(医学院学生) ?; Physiotherapist(理疗师) ?;Others(其它) Health Status(健康状况) Record of Formal Schooling(学历) Experience of Work(工作经历) Language Known to Applicant(会何种语言) Passport No. (护照号码) Course Time and No. Selected (拟参加学习时间和培训班期号) City Name for Applying for Visa(办理签证城市地点) Others (其它) Date of Application (申请日期) Signature(签名)