applicationformforchengdusscholarship.doc.docVIP

成都市国际友好城市留学生政府奖学金申请表 APPLICATION FORM FOR CHENGDU GOVERNMENT 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. 1. 申请人情况/Personal Information: 护照用名/Passport Name: 姓/Family Name: 名/Given Name:  照片 Photo 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: 2. 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 3. 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 4. 语言能力/Language Proficiency: a .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 test or other certificates which can show your Chinese level:_ b .英语/English: 很好/Excellent：□ 好/Good：□ 较好/Fair：□ 差/Poor：□ 不会/None：□ 我的英语水平可以用英语学习/I can be taught in English: 是/Yes □ 否/No □ c .其他语言/Other Languages:_ 5. 来蓉学习计划/Proposed Study in Chengdu: a .本科生/Bachelor’s Degree Candidate：□ 硕士研究生/Master’s Degree Candidate：□ 博士研究生/Doctor’s Degree Candidate：□  专科生/Junior College’s Candidate：□ 普通进修生/Scholar：□ b .申请来蓉学习专业或研究专题/Subject or Field of Study in Chengdu:_ c .申请院校/Preferences of Institutions of Higher Education in Chengdu: Ⅰ. Ⅱ. Ⅲ. d .申请专业学习时间/Duration of the Major Study: 自/From：年/Year_ 月/Month  至/To：年/Year 月/Month e .是否需要补习汉语/Do You Need Elementary Chinese Study prior to the Major Study? 是/Yes：□ 请填写申请汉语补习时间（不计在专业学习时间内）