南京信息工程大学-世界气象组织奖学金申请表.docVIP

PAGE 2 PAGE 2 南京信息工程大学-世界气象组织奖学金申请表 APPLICATION FORM FOR NUIST-WMO FELLOWSHIPS EDUCATION PROGRAMME 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 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 bracket. Any forms that do not follow the notes will be invalid. 照片 照片 Photo 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 Contact Address:__________________________________________________________ 当前联系电话/ Present Contact Tel: _________________当前联系传真/Present Contact Fax: _____________ 当前联系Email/Present Contact E-mail: ________________________ 永久通信地址/Permanent Contact Address: _______________________________________________________ 永久联系电话/Permanent Contact Tel: ________ 永久联系传真/ Permanent Contact Fax: _______________ 永久联系E-mail/Permanent Contact Email: ________________________ 2. 受教育情况及工作经历/Education Background and Employment Record 学校 在校时间 主修专业 毕业证书及学位证书 Education Institution Years Attended (from/to) Fields of Study Certificates Obtained or to Obtain ___________________ _____________________ _____________________ ______________________ ___________________ _____________________ _____________________ ______________________ _______