{"text_format":"3","workbook":"xls","n_sheets":1,"sheets":["报名表"],"read":"whole","date_system":"1900","formulas":"cached_only"}

{"sheet":"报名表","index":0,"n_rows":42,"n_cols":6,"rows_kept":42,"merged":[[0,0,0,5],[2,1,2,3],[15,1,15,5],[16,0,16,5],[19,1,19,5],[32,1,32,5],[33,1,33,5],[34,1,34,5],[35,1,35,5],[36,1,36,5],[37,1,37,5],[38,1,38,5],[39,0,40,0],[39,1,39,5]],"flags":["formulas_cached_only"]}
["项目报名表"]
["一、项目信息（*号必填，下同）"]
["*报名项目","上智大学Stay in Tokyo ",null,null,"*项目代码","上智/SIT 2018A"]
["*开始日期","2018-01-27","*结束日期","2018-02-05","大使邀请码"]
["二、身份信息"]
["*中文姓名",null,"*姓名拼音","需与护照上写法一致","*出生日期"]
["*性      别",null,"*国       籍",null,"*民       族"]
["*宗教信仰","若没有，请填“无”","*身份证号","若为港澳台人员，请填写一位大陆亲属身份证号","*证件有效期"]
["三、旅行证件"]
["*护照号","若暂未办理，请填“暂无”","护照有效期至",null,"签发地"]
["旧护照号",null,"有效签证",null,"*拒签历史及理由","没有请填“无”"]
["四、通讯信息"]
["*手机号码","重要，用于协议验证","*电子邮箱","重要，用于协议验证","*QQ号码"]
["*微信号",null,"*学校所在（省）",null,"*学校所在（市）"]
["*学校所在（区）",null,"*学校具体地址",null,"*现居地邮编"]
["*邮寄材料地址","用于护照、证书及成绩单邮寄，如在本校内请填“本校”"]
["紧急联络人信息"]
["*联络人姓名",null,"*性       别",null,"*关       系"]
["*手机号码",null,"*电子邮箱",null,"*所在地邮编"]
["*所在地址"]
["五、学术信息"]
["*在读院校",null,"*学校英文名",null,"*专业大类"]
["*专业(英文)",null,"*所在院系",null,"*院系(英文)"]
["*入学学历","如：管理学学士","*入学年份",null,"*学       制"]
["*在读年级",null,"*学     号",null,"*政治面貌"]
["*GPA","转换为4.0分制，如3.75","*英语CET四级","若未参加，请填\"0\"","*英语CET六级","若未参加，请填\"0\""]
["日语能力"]
["托福总分","如有，请填写","托福考试时间",null,"阅读Reading"]
["听力Listening",null,"口试Speaking",null,"写作Writing"]
["雅思总分","如有，请填写","雅思考试时间",null,"听力子分"]
["口语子分",null,"阅读子分",null,"写作子分"]
["六、健康信息"]
["*整体状况","请如实描述您目前及长期以来的身体状况，是否健康，是否有残障等，若正常，请填“良好”"]
["*重大病史","请如实说明您是否罹患心脑血管疾病、哮喘、骨折等重大疾病或伤患，没有请填“无”"]
["*用药需求","请如实说明您是否需要长期服用中西医药物，是否需要常备某些药品，没有请填“无”"]
["*药物过敏","请如实说明您是否对某种或某类药物有过敏反应，如阿司匹林、青霉素等，没有请填“无”"]
["*饮食忌口","请如实描述您是否容易在某种环境中感到不适，如花粉，强紫外线等，没有请填“无”"]
["*环境适应","请补充其他您希望项目主办方了解的信息，以便我们更好地保障您在项目期间的安全，没有请填“无”"]
["其他事项","选填，与身体健康有关的其他说明或咨询问题"]
["*填写声明","“如您希望翔飞为您就此提供相关服务, 翔飞与您将以电子合同方式签署正式服务协议。您知悉及认可, 该等电子合同将通过您于本《报名表》所填写之手机号码进行发送、签署及上传, 您确保该等手机号码准确无误且属于您本人。如手机号码或者您个人身份信息错误或者变更的, 请在翔飞与您签署合同前告知翔飞, 如未及时告知, 翔飞将视同您已提供准确及可使用的信息并据此与您签订合同, 由此产生的责任由您自行承担。您进一步同意, 为翔飞为您提供服务之目的及签订电子合同之目的, 翔飞将有权使用《报名表》所填写的全部信息并向相关第三方提供该等信息。” "]
[null,"我同意","√"]
["*归属投递","上海","*途径调查",null,"备注说明","额外咨询的问题"]