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family name:   * Give name:   *
Nationality:    
nationalité:   * sex: *
Date of birth: YMD  * Place of birth:   *
Passport number:   * Marital Status: *
Previous education:  *    
Employer or School:  *
Mailing address:  *
Tel:   * E-mail:   *
Language ability:
 
Reading Speaking Listening Writing  
Chinese:
 
English:
 
Language Program: *
*

Expected duration

Of study at CAMIC:
From   Y MD   To   Y MD   durée en semaines  *
How did you hear about CAMIC :  *
Accommodation requirement: *
Remarks:
 

Beijing Eastern Brand-New Education Services

Tel:(+86 10)64939132 13601223048 Fax:(+86 10)64917823 E-mail: dfnew@yahoo.cn