Application Form (Letter Of Accreditation) Page 2

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towards: a) diploma b) BA/Bsc c) MA/Msc d) PhD
Joint research program □
Faculty exchange program □
Student exchange program □
Others □
Academic fields: ____________________________________
Basic information of other / earlier partnership(s) in China:
(More pages can be added if more space is needed.)
Name of the education institution in cooperation:
_____________________________________________________
Province: _______________________________
Type of program(s) (Tick where necessary):
Joint teaching program □
towards: a) diploma b) BA/Bsc c) MA/Msc d) PhD
Joint research program □
Faculty exchange program □
Student exchange program □
Others □
Academic fields: ____________________________________
Information of the AGENT (in China) involved:
Name: _____________________________
Address: ___________________________
Telephone: _________________________
Fax: ______________________________
E-mail: ____________________________
Contact: Mr. / Ms ___________________

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