A. Personal Particulars个人信息.docVIP

A. Personal Particulars个人信息 English Name英文名: Surname姓: Given Name名: Chinese Name中文名: Gender性别: ‘M’ – Male 男 ‘F’ – Female女 Day日 / Month月 / Year年 Date of Birth:出生日期 学号 Passport No护照号码.: （If applicable） B. Contact Information联系信息 Correspondence Address通信地址: Contact Phone No联系电话.: Email Address 电邮地址: C. Proposed Research Study and Other Application Details申请的研究学习及其他详情 (Please tick (() the appropriate box)(请在合适的选项打(()) Research Area 研究方向: Department that you apply for 申请的院系名称:* Your PhD supervisor at USTC 中科大博士生导师 D. Undergraduate/Postgraduate Academic Qualifications本科/硕士学历 Part I. Qualifications Obtained (in reverse chronological order) 学习经历（按照从近到远的时间顺序填写) Month/Year 月/年 Title of Award (Please specify field of study)授予学位名称 （请详细说明专业） Classification of Award/GPA授予学位级别/平均分 Academic Institution 学术机构名称 Month/Year of Award 授予学位日期（月/年） Language of Teaching of the Institution教学语言 From开始 To结束 Country 国家 Name 名称 Part II. Current Studies (Please complete this section if you are currently enrolled in a programme.) 当前的学习情况(如果目前已加入某个项目，请填写此项。) Start Date 开始日期 Title of Programme 项目名称 Academic Institution学术机构名称 Year of study (1st study year, 2nd study year) 學年 (一年级, 二年级) Expected Month/Year of Award 预计授予日期（月/年） Language of Teaching of the Institution 教学语言 Country 国家 Name 名称 E. Professional Qualifications Obtained (in reverse chronological order) 所获得的专业证书（按照从近到远的时间顺序填写） Name of Awarding Institution (Country) 授予机构名称(国家) Professional Qualification (Please state types of membership/means of attainment e.g. by examination, by election, etc) 专业证书名称(请说明获得的方式，比如通过考试，选拔等.) Year of Award 授予年份 F. Working Experience (in reverse chronological order) 工作经历(按照从近到远的时间顺序填写) Month/Year 月/年 Full-time/ Part-time全职/ 兼职 Name of Organization 单位名称 Post 职位 Duties 工作职责 From开始 To 结束 G. Results of English