南京市政府-南京理工大学来华留学生合作奖学金申请表.docVIP

南京市政府-南京理工大学来华留学生合作奖学金申请表 APPLICATION FORM Nanjing Municipal Government—Nanjing University of Science Technology Joint Scholarship Program for International Student 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‘√’表示。不按规定填写的表格将视作无效。 Please complete the form in Chinese or English. Fill the form on PC or write neatly in black or blue ink. Tick ( where applicable. Any form that does not follow the notes will be invalid. 1、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：□ 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：___________________________________________________________ 电话/Tel：__________________ 传真/Fax：______________ __ E-mail：____________ _________ 2、本人简历(从高中开始)/Curriculum Vitae（Starting from high school） 单 位 时间（年/月—年/月） 主修专业 Previous and Current Education Employer Years Attended (from/to) Fields of Study ____________________________ _____________________ ______________________ ____________________________ _____________________ ___ ___________________ ___________________________ _____________________ ___ ________________ 3、汉语能力/Chinese Language Proficiency： 很好/Excellent：□ 好/Good：□ 差/Poor：□ 不会/None：□ HSK 考试等级或其他类型汉语考试成绩/ Level of HSK test or other certificates which can show your Chinese level：_________________ _______________________________________________ 英语能力/English