APPLICATION FORM 2003-2004 INTERNATIONAL BUSINESS AND MANAGEMENT STUDIES
Please complete and return with copies of Foundation Year O Main Phase O
certificates, diplomas and grade lists to:
Arnhem Business School
P.O. Box 5171
6802 ED ARNHEM
The Netherlands
Fax: +31 26 369 1368
Email: IBMS@HAN.nl
Personal details
First name: ………………YUAN…………………………… Last name: ………………..…TAO……………………………
Mailing address:Room501 No.173 CaoYangErCun Putuo District Shanghai China …中国上海普陀区曹杨二村173号501室………….….…………………… Postal code + city: .…200062…..………………………………
Country: ……P.R. China…………..……………………………. E-mail address: …rawluis@hotmail.com…rawluis2@hotmail.com…………..………………………..
Telephone number: 13012812124………………..………………. Fax number: ………………..……………………………
Date of Birth: …Jan. 31st 1982……………..……………………… Place of Birth: .……Shanghai……..………………………………
Male / Female: …Male……. Nationality: …….…Chinese……..………………………………
Details of parents/guardians
Mr/Mrs/Ms + last name: ……Mr. TAO…………..…………………………………………
Mailing address: Room501 No.173 CaoYangErCun Putuo District Shanghai China …中国上海普陀区曹杨二村173号501室…………… Post code + city: ………..…200062……………………………
Country: ………..…P.R. China…..……………………………… Telephone number: ……+86 021 62602961..………………………………
Father's country of Birth: ………P.R. China…………………… Mother's country of Birth: ………P.R. China…………………………
How did you hear about the Arnhem Business School? (please fill in)
Through: Advertisement, which magazine?: …………………………….
Internet, which website?: ……………………………………….
Exposition, where, when?: ……………………………………..
Your school, who?: ………………………………………………function?: ………………………..
Other source, which?: …….………Through the NSEO Beijing………………………….....
Secondary Education for Dutch students only:
Date final diploma('s) obtained: Final Examination subjects passed:
VWO: ..... ./.….. / ……. …………………………………………………………………………………..
HAVO: ...…/……/…..… …………………………………………………………………………………..
MEAO: ….…/……/….… …………………………………………………………………………………..
Other: …………………………. (name) …………………………………………………………………………………..
……/……/……
Secondary Education for Foreign students only
Type: ……………Technical school ………………………………………………………… No. of years: ……4years……..
Diploma/Certificate: Yes / No: …yes…………. Date obtained: …July…../…2001……/……..
Final Exam Subjects Passed: …………………..………………………………………………………………….……
High school attended: ………………………………………………………………………
Mailing address: ………………………………………… Post code + City: ………………….…………………..
Country: ………………………………………………… Contact Person: ……………………………………….
Function: ………………………………………………… Telephone Number: …………………………………..
Additional courses done:
…………………..……………………………… Duration:. ………… Date completed: ……../……../…….
…………………..……………………………… Duration:. ………… Date completed: ……../……../…….
Tertiary Education
Type: ……………………………………………………………………… No. of years: …………
Diploma/Certificate: Yes / No: ……………….. Date obtained: ……../……../…….
Main subjects passed: …………………..………………………………….…………………………………….……
Institution name: …………………..………………………………….…………………………………….…
Mailing address: ………………………………………… Post code + City: ………………….…………………..
Country: ………………………………………………… Contact Person: ……………………………………….
Function: ………………………………………………… Telephone Number: …………………………………..
Language proficiency
English: Have you done a TOEFL written test? no / yes, score: …………....
Have you done a TOEFL oral test? no / yes, score: ……..……..
Have you done an IELTS-test? no / yes, score: .….………..
Other ………………………………….. no / yes, score: .….………..
(please send a copy of your test results)
Please indicate your foreign language skills in:
Dutch: none O beginner O intermediate O fluent O
French: none O beginner O intermediate O fluent O
German: none O beginner O intermediate O fluent O
Spanish: none O beginner O intermediate O fluent O
Which of these would you take as your major …….………………., minor ………….………foreign language?
Filled in truthfully on: ......./.........../........ Signature: ……………………………………………
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