2025 International Summer School on Global Medical Innovation at Wuhan Union Hospital

This questionnaire is designed for applicants participating in the 2025 Summer School Program at Union Hospital, Tongji Medical College, Huazhong University of Science and Technology. The program will be conducted entirely in English.All data collected herein will be used properly  and solely for program-related purposes.Thank you for your cooperation. We look forward to welcoming you to Wuhan!
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1.
护照姓 Passport Surname
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2.
护照名 Passport Name
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3.
护照号码 Passport Number
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4.
护照有效期 Passport Expiration Date
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5.
性别 Gender
Male
Female
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6.
出生日期 Date of Birth 
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7.
国籍 Nationality 
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8.
母语 First Language 
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9.
出生国家/地区 Birth Country/Region
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10.
出生地 Place of Birth 
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11.
最高学历 Highest Degree 
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12.
婚姻状况 Marital Status
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13.
职业 Occupation 
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14.
工作或学习单位 Work or Study Institute 
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15.
工作或学习单位的所在国家 Country of Work or Study Institute 
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16.
家庭所在国家/地区 Your current home country/region
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17.
在校学习开始时间 Start date of current study in your home university 
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18.
在校学习结束时间 End date of current study in your home university 
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19.
家庭地址 Home Address 
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20.
家庭电话 Home Phone NO.
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21.
电子邮箱 E-mail
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22.
推荐单位名称 Recommended by which University/Institute 
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23.
推荐单位电话 Phone number of Recommendation University/Institute 
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24.
当前在校学习状态 Current status in your home university 
Undergraduate
Master
PHD
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25.
当前在校学习专业 Current major in your home university 
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26.
担保人 Financial guarantee person in your home country 
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27.
担保人性别 Gender of financial guarantee person in your home country 
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28.
与担保人的关系 Relationship with financial guarantee person in your home country 
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29.
担保人电话 Phone number of financial guarantee person in your home country 
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30.
担保人邮箱 Email of financial guarantee person in your home country 
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31.
请上传护照扫描件 To upload current passport photocopy
请提交申请者本人计划用于进入中国的护照 Please submit the passport that you plan to use to enter China 
点击上传
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32.
请上传当前在读证明和成绩单 Please upload study certificate and transcript from your home university 
All application documents must be in Chinese or English. Documents issued in the third language should be translated in Chinese or English.
点击上传
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33.
文化衫尺寸 Size for T-shirts
S
M
L
Xl
2XL
3XL
4XL
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