Yanshan University Information Collection Form for the 2026 Summer School Project

Dear student,we congratulate you on your successful admission to the 2026 Yanshan University International Summer School Program.As this summer school program is funded by the China Scholarship Council (CSC), we are required to submit participants’ relevant information to CSC. Therefore, we will collect your essential personal information via this online questionnaire. Please fill in the following information in English. The collected data will be used solely for the CSC funding application for this program and for no other purposes. We will strictly abide by data protection regulations to fully protect the security of your personal information.

1. Sub-project Name

Intelligent Equipment and New Energy Technology Summer Camp ProgramHeavy Machinery Equipment Technology Summer Camp Program

Given Name on Passport (in capital letters, English letters only)

Surname on Passport (in capital letters, English letters only)

Date of Birth (Format: Year-Month-Day，for example:2000-01-01)

5. Gender

MaleFemale

6. Marital Status

MarriedUnmarriedOther

7. Country of Birth

PolandMoroccoOther

8. City of Birth

9. Continent

EuropeAfricaOther

10. Nationality

11. Mother Tongue

PolishEnglishArabicTamazightFrenchOther

12.

Passport Number (In uppercase letters)

13.

Passport Expiry Date (Format: Year-Month-Day ，for example:2000-01-01)

14.

Telephone Number (Numbers within 20 characters, no special symbols)

15. Email

16.

Alternative Email (Optional)

17.

WeChat ID (Optional)

18.

Emergency Contact Person's Name

19. Emergency Contact Person's Gender

MaleFemale

20. Relationship Between Emergency Contact Person and the Applicant

ParentsSpouseChildrenSiblingsOther Family MembersFriendColleagueOther

21.

Emergency Contact Person's Number (Numbers within 20 characters, no special symbols)

22. Emergency Contact Person's Email

23.

Emergency Contact Person's Address

24. Student Source Category

Undergraduate Student (In-progress)Undergraduate GraduatePostgraduate (Master’s) Student (In-progress)Master’s GraduateDoctoral Student (In-progress)Doctoral GraduateEmployed

25. Major / Field of Study

26.

Certificate Type of Graduation and Degree(Format: [Discipline Category + Degree], For example: Bachelor of Arts, Master of Medicine, Doctor of Engineering)

27.

Start Date of Current Study(Format: Year-Month-Day,for example:2000-01-01)

28. Graduate Date of Current Study(Format: Year-Month-Day,for example:2000-01-01)

29. Chinese Proficiency

NonePoorGoodExcellent

30. English Proficiency

NonePoorGoodExcellent

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