外国留学生奖学金年度评审表.doc

外国留学生奖学金年度评审表 FORM FOR ANNUAL REVIEW OF GUCAS SCHOLARSHIP STATUS 表一 （Form 1） 本页由奖学金生本人逐项认真填写/The scholarship student shall CAREFULLY fill in the following parts.请申请人认真阅读注意事项后再填写下列各项/Please read CAREFULLY the IMPORTANT NOTES before filling out the form. 姓名(同护照用名)/Name(Same as in Passport): 姓/Family Name: 名/Given Name: Middle Name: ___________________________ 性别/Sex:___________ 出生日期/Date of Birth: _________年/Year ______月/Month _____日/Day 出生国(地区)/Country(Region) of Birth:____________ 国籍/Country of Citizenship:_______________ 学生类别/Student Category (Please Check): 硕士研究生/Master’s Degree Student □ 博士研究生/PhD Student □ 普通进修生/Regular Visiting Student □ 高级进修生/Senior Visiting Student □ 联系电话/Telephone: Email: 培养单位/Institute: ____________________ 学习专业/Research Field: _________________________ 本人所享受的奖学金为/The scholarship I enjoy is (Please Check)： 全额奖学金/Full Scholarship □ 部分奖学金/Partial Scholarship（Housing □; Tuition Waiver □; Living Stipend □） 入学时间/Enrollment Time： 年（Yr.） 月（Mon.） 申请年度为/Intending Scholarship Application Period: 在学的第几学年/ Academic Year in GUCAS _ 本学年的学习及表现情况/Summary of academic activities in the past year (Please Attached) 本人签字/Signature: __________________ 日期/Date ______年/Year _____月/Month ____日/Day 注意事项/Important Notes: 请申请人用中文或英文填写，其他文字或缺项的申请表无效；需在本表相应框内做出选择的地方，请用符号“(”表示。/ This form is to be completed by the applicant in Chinese or English only. Any incomplete application or application completed in languages other than Chinese or English will be invalid; Please use “(” to check the box in the relevant items to indicate your selection. 全额奖学金:/Full Scholarship: 免学费/Tuition Waiver ; 住宿费/Housing; 生活费补贴/Living stipend. 3．部分奖学金:/Partial Scholarship: 全额奖学金中的一项或几项/One or more items of full scholarship. 表二 （Form 2） 本页由培养单位填写/The scholarship student shall not write below this line 培养单位名称: 导师姓名 工作单位 职称/职务 联系电话