Personal & Passport Information (must match your ordinary passport exactly)
5. Gender * Click the arrow on the right to choose.
— Select — Male Female
7. Nationality/Region of Birth * Your nationality or region at birth (not your place of birth). Choose from the list.
— Select — Afghanistan Albania Algeria Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria BurkinaFaso Burundi Cambodia Cameroon Canada Cape Verde Central Africa Chad Chile China Colombia Commonwealth of Dominica Comoros Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Democratic Republic of the Congo Denmark Djibouti Dominican Republic East Timor Ecuador Egypt Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands(Islas Malvinas) Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong, China Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea DPR Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau, China Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Niue North Macedonia Norway Oman Other Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Republic of Korea Republic of the Congo Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Salvador Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan, China Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Yemen Zambia Zimbabwe
8. Place of Birth: Country/Region * Same as the place of birth on your passport. Choose from the list.
— Select — Afghanistan Albania Algeria Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria BurkinaFaso Burundi Cambodia Cameroon Canada Cape Verde Central Africa Chad Chile China Colombia Commonwealth of Dominica Comoros Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Democratic Republic of the Congo Denmark Djibouti Dominican Republic East Timor Ecuador Egypt Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands(Islas Malvinas) Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea DPR Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Niue North Macedonia Norway Oman Other Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Republic of Korea Republic of the Congo Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Salvador Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Yemen Zambia Zimbabwe
10. Current Nationality * The nationality of the passport used for this application. Choose from the list.
— Select — Afghanistan Albania Algeria Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria BurkinaFaso Burundi Cambodia Cameroon Canada Cape Verde Central Africa Chad Chile China Colombia Commonwealth of Dominica Comoros Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Democratic Republic of the Congo Denmark Djibouti Dominican Republic East Timor Ecuador Egypt Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands(Islas Malvinas) Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea DPR Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Niue North Macedonia Norway Oman Other Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Republic of Korea Republic of the Congo Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Salvador Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Yemen Zambia Zimbabwe
14. Mother Language * Choose from the list. If "Other", type it in this cell, e.g., Other: Dutch.
— Select — English French German Japanese Russian Spanish Italian Portuguese Korean Hebrew Persian Hindi Thai Arabic Chinese Other
15. Marital Status * Choose from the list.
— Select — Unmarried Married Divorced Widowed
16. Highest Level of Education * Choose from the list.
— Select — Foundation Doctoral Degree Master Degree Undergraduate Degree College Senior High School Junior High School Primary School
17. Highest Education Status * Currently enrolled or graduated. Choose from the list.
— Select — To be obtained (currently enrolled) Obtained (graduated)
18. Religion * Choose from the list. If "Other", type it in this cell, e.g., Other: Sikhism.
— Select — No religious belief Catholicism Christianity Islam Buddhism Taoism Orthodox Protestantism Atheist Other
19. Occupation/Profession * Choose from the list. If "Other", type the specific occupation in this cell.
— Select — Student Staff Teacher Scholar Doctor Worker Engineer Manager Housewife Government Official Military Personnel Journalist Monk Other
20. Current School/Organization: Country/Region * Students: country/region of your current school. Employed: of your employer. If you are neither a student nor employed, tick the box below instead: this item and the next one are then not needed.
I have no current school or employer Students cannot use this box: please fill in your school below.
— Select — Afghanistan Albania Algeria Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria BurkinaFaso Burundi Cambodia Cameroon Canada Cape Verde Central Africa Chad Chile China Colombia Commonwealth of Dominica Comoros Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Democratic Republic of the Congo Denmark Djibouti Dominican Republic East Timor Ecuador Egypt Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands(Islas Malvinas) Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong, China Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea DPR Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau, China Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Niue North Macedonia Norway Oman Other Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Republic of Korea Republic of the Congo Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Salvador Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan, China Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Yemen Zambia Zimbabwe
22. Any Diseases to Explain to the University? * Choose "None", or if yes, type the condition in this cell, e.g., Yes: asthma.
— Select — None Yes
Contact Details & Mailing Address (mainland China addresses in Chinese; all others in English)
26. Permanent Address: Country/Region * Choose from the list.
— Select — Afghanistan Albania Algeria Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria BurkinaFaso Burundi Cambodia Cameroon Canada Cape Verde Central Africa Chad Chile China Colombia Commonwealth of Dominica Comoros Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Democratic Republic of the Congo Denmark Djibouti Dominican Republic East Timor Ecuador Egypt Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands(Islas Malvinas) Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong, China Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea DPR Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau, China Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Niue North Macedonia Norway Oman Other Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Republic of Korea Republic of the Congo Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Salvador Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan, China Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Yemen Zambia Zimbabwe
31. Current Residential Address * Write "Same as permanent address" if identical. Otherwise: contact name / mobile number (with country code) / country or region / state or province / city / detailed address / postal code.
32. How to Receive the Admission Notice * Choose from the list. If you choose "Send to a new address", add after it: receiver / mobile number (with country code) / country or region / state or province / city / detailed address / postal code.
— Select — Send to permanent mailing address Send to current address Pick up from International Students Office of Fudan University(Room 101, International Students Office, Fudan University, 220 Handan Road, Yangpu District, Shanghai) Send to a new address