The 12th "Chinese Bridge"-Chinese Proficiency Competition for College Students Registration Form for Preliminary Competition in Czech Republic and Slovak Republic
^iÄ^/Name (in Chinese, if applicable):_ ^{l^/PassportNo.: _
i^fiSffl^/Passport Name: ^/Family Name: _& /Given Name: _
Etii§/Tel: _#Ä/Fax:_£?fiP#/E-mail: _
&AfflfitJfett (313t) /MailingAddress (inEnglish) :_
gl Tftg^ffflfpgJgW/Please Fill in the Blanks in Chinese: ܣBffi/Date of Birth: ^p/Year _R /Month_B/Day.
fll£Jfe A/Place of Birth: II ^/Country:_$7j?/City:.
Jf^MW ?<& WExpired date of passport:   ^/year_H /month_B/day_
HII/Nationality:_J§/Male: □ ^/Female: □     B£g/Married: □ jfc&t/Single: □
%~in W/First Language:_ %—T§W/Second Language:_
SCMfi£w-^3tWS/Chinese Background of Family Members:_
R^I&W'ft^/Higher Education Background:
Institutions Years Attended Fields of Study      Certificates Obtained or to be obtained
^^$X@&t$f iWHow long have you been learning Chinese language?_
U WdztyiW- @ /Topic of prepared speech:_
4115 2^B /Prepared performance of Chinese culture skills(Chinese songs, dance, opera,
martial art, painting, paper cuts, music instrument, calligraphy, etc.):_
MW&fflMfy&iii' RT^±S#in 2013 S£ 7 ^Stffl^rWf*, /If you stand out in the
preliminary competition, could you participate in the further competitions in China in July 2013?
Bm/Yes:   □ WWo    □ ^/Instructor:_
j^^^X^^/Signature of the participant:_ B J$/Date: ^      i! B
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Ms. TANG Yun
Head of Education Office
Embassy of the People's Republic of China in the Czech Republic
Pelleova 18, 160 00Praha6
Tel: 00420 233 028 869
Fax: 00420 233 028 868
E-mail: tangyundawn@gmail.com
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