北京科技大学校长奖学金申请表.docVIP

 北京科技大学校长奖学金申请表 APPLICATION FORM FOR CHANCELLOR’S SCHOLARSHIP 请申请人认真阅读本表第四页的填表说明。请用中文或英文填写此表格。请用电脑打印或用蓝色或黑色钢笔认真书写表格内容。请在所选项框内划‘X’表示。不按规定填写的表格将视作无效。 Please read carefully the important notes on the last page before filling out the form. Please complete the form in Chinese or English. If the form is not filled in on PC, please write legibly in black or blue ink. Please indicate with‘X’in the blank chosen. Any forms that do not follow the notes will be invalid. 申请人情况/Personal Information: 护照用名/Passport Name: 姓/Family Name: ___________________________________________________ 名/Given Name: ____________________________________________________ 国籍/Nationality: ________________ 护照号码/Passport No.: __________________ 出生日期/Date of Birth: 年/Year_______月/Month_______日/Day_______ 出生地点/Place of Birth: 国家/Country:_____________ 城市/City:_____________ 男/Male：□ 女/Female：□ 已婚/Married：□ 未婚/Single：□ 其它/Other：□ 母语/Native Language:_______________________ 宗教/Religion:______________________________________ 当前联系地址/Present Address:___________________________________________________________________ 电话/Tel: _____________________ 传真/Fax: _____________________ E-mail: ________________________ 永久通信地址/Permanent Address: _______________________________________________________________ 受教育情况/Education Background: 学校 Institutions 在校时间 Years Attended (from/to) 主修专业 Fields of Study 毕业证书及学位证书 Certificates Obtained or To Obtain  ___________________ _____________________ _____________________ ______________________ ___________________ _____________________ _____________________ ______________________ ___________________ _____________________ _____________________ ______________________ 工作经历/Employment Record: 工作单位 Employer 起止时间 Time (from/to) 从事工作 Work Engaged 职务及职称 Posts Held __