中外语言交流合作中心
Center for Language Education and Cooperation
地址：北京市西城区德胜门外大街129号
Address：129 Deshengmenwai Street, Xicheng District, Beijing, China
邮政编码:(Post code):100088
电话(Tel):+86-010-58595728
传真(Fax):+86-010-58595957
电邮(Email):chinesebridge@chinese.cn
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1.中文姓名/Name (in Chinese, if applicable):

2.护照用名(英文)/Passport Name (in English)

姓/Family Name:

名/Given Name:

以下内容请用中文填写(带号项除外)/Please Fill in the Blanks in Chinese except with :
3.出生日期/Date of Birth:
4.出生地点/Place of Birth:
5.国籍/Nationality:
6.护照号码/Passport No.:
7.护照有效期/Date of Expiry:
8.性别/Gender:
9.宗教信仰/Religion:
10.是否有特殊饮食要求/Any Special Food Requirements?
11.第一语言/First Language:
12.第二语言/Second Language:
13.家庭成员有无中文背景/Chinese Background of Family Members:

14.电话/Tel:
15.电子邮件/E-mail:
16. 个人使用的社交网络类型/ What kind of social network site/software are you using:
  • 用户名/User ID
  • 用户名/User ID
  • 用户名/User ID
  • 用户名/User ID
  • 用户名/User ID
  • 用户名/User ID
  • 用户名/User ID
  • 用户名/User ID
  • 用户名/User ID
17.永久通讯地址(请用英文填写)/Mailing Address (in English):

18.受教育情况/Education Background：

就读年级/Grade：

19.学习中文的时间/Period of Chinese leaning:

20.是否曾在有关机构学习中文/Have you ever studied Chinese in any institution?

若是，请写出该机构名称：
If your answer is yes, please write down the name of the institution:

21. 是否参加过往届"汉语桥"活动/Did you ever attend previous Chinese Bridge—Chinese Proficiency Competition?

22.中华才艺特长/ Chinese culture skills:
23.如果你能持续晋级，可否全程参加在中国进行的2024年全球决赛？（大约为期2周）If you can advance, can you participate in the 2024 global finals in China ? (about 2 weeks)
24.学习中文的故事或你与中国有关的故事（可提供图片、视频和详细介绍发至chinesebridge@chinese.cn）/If you have any interesting story about Chinese language learning or any story between you and China , please tell us. (If there’re pictures, videos or detailed descriptions, you can send them to chinesebridge@chinese.cn)
25.是否曾在中国学习或生活，若有，请写出相关经历。Have you ever studied or lived in China? If your answer is yes, please write down the relevant experience.


选手本人签字/Signature of the applicant: 日期/Date:

26.2024年8月1日前，选手是否满18周岁？/Is the applicant 18 years or older as of August 1, 2024?
26-1.选手监护人情况/ The Applicant's Guardians：
与选手关系Relationship 姓名Name 家庭电话Home Phone No. 移动电话Mobile Phone No.
26-2.选手监护人是否同意该选手前往中国参加第十七届"汉语桥"世界中学生中文比赛？/Do the guardians agree the applicant to participate in the 17th Chinese Bridge—Chinese Proficiency Competition for Foreign Secondary School Students in China?
26-3. 比赛期间将由__________陪同选手前往中国参加，并承担该选手在中国参加"汉语桥"世界中学生中文比赛期间的监护职责。/During the competition,__________will accompany the applicant to China , and take the responsibility of guardianship of the applicant who participates in the Chinese Bridge—Chinese Proficiency Competition for Foreign Secondary School Students in China.
26-4.选手监护人是否委托代为行使该选手在中国参加"汉语桥"世界中学生中文比赛期间的监护职责？/Do the guardians entrustto take the responsibility of guardianship of the applicant who participates in the Chinese Bridge—Chinese Proficiency Competition for Foreign Secondary School Students held in China?

监护人签字/ Signature of the applicant's guardian: 日期/Date:

27.请提供你的护照扫描件Please provide your scanned passport picture file:
28. 请提供你的个人简历 Please write your brief resume below (If you have a detailed CV in the form of a DOC or PDF you can send it with this file to chinesebridge@chinese.cn)
<!– 个人简历 Resume –>
以下栏目由中国驻外使(领)馆教育(文化)处(组)填写 (For Embassy or Consulate Only)：
29.中国驻外使(馆)教育(文化)处(组)意见/Comments of the Embassy or Consulate of P. R. China: 经审核报名表信息，同意推荐 同学（请填写选手姓名）作为 来华。

驻 使(馆)教育(文化)（其他，请填写 ）处(组)

签字盖章/Official Signature: 日期/Date: