附件4：国外来深留学申请表（翻译）-附件4.doc

附件4 深圳大运留学基金会来深留学生资助申请表 Funding Application Form of Shenzhen Universiade International Scholarship Foundation (Coming to Shenzhen) 请申请人用中文或英文填写此表格(用中文填写优先)。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视为无效。 Please complete the form in Chinese or English (Chinese preferred). Fill in the form on computer, or write legibly in black or blue ink. Please indicate with ‘X’ in the blank chosen. Any forms not completed as specified 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 Diploma _________________ _________________ _________________ 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 Post or Title _________________ _________________ _________________语言能力/Language Proficiency: 汉语/Chinese: 很好/Excellent:□ 好/Good:□ 较好/Fair:□ 差/Poor:□ 不会/None:□ HSK考试等级或其他类型汉语考试成绩/ Level of HSK examination or other certificates which can show