云南省侨务办公室华裔学生奖（助）学金申请表.doc

PAGE  PAGE 2 云南省侨务办公室华裔学生奖（助）学金申请表 SCHOLARSHIP APPLICATION FORM OF THE OVERSEAS CHINESE AFFFAIRS OFFICE OF YUNNAN PROVINCE FOR CHINESE ORIGIN 请申请人认真用中文或英文填写此表格。本奖学金为每学年申请一次，此申请表有效期为一学年。 Please fill this form in Chinese or English conscientiously. The scholarship is applied for one year. Validity of this application form is one year. 照片 photograph 1. 申请人情况/Personal information： 护照用名/Name in passport： 姓/Family name: _________________________________（BLOCK LETTERS） 名/Given name: __________________________________（BLOCK LETTERS） 国籍/Nationality：________________ 护照(边境证)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□ 最后学历/Education level：_____________母语/Native language：_______________宗教Religion：___________________ 目前所在学校或机构/Place of study or work：_______________________________________________________________ 联系地址/Current address：___________________________________________________________________________ 电话/Tel： __________________________________ 传真/Fax：________________________________________________ 2. 受教育情况/Education background： 学校 在校时间 主修专业 所获证书 Institutions From / to Fields of study Diploma/degree obtained ______________________________ ___________________ ____________________ ____________________ ______________________________ ___________________ ____________________ ____________________ ______________________________ ___________________ ____________________ ____________________ ______________________________ ___________________ ____________________ ____________________ 汉语能力/Chinese Language Proficiency 很好/Excellent □ 好/Good □ 较好/Fair □ 差/poor □ 不会/None □ HSK等级 /Level of H