Microsoft Word - Chongqing Mayor's Scholarship Application Form

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1 重庆市教育委员会 CHONGQING MUNICIPAL EDUCATION COMMISSION 中国重庆市江北区董家溪鹅石堡山 26 号邮编 : No. 学生类别学习专业 Add: No.26 Eshibaoshan, Dongjiaxi, Jiangbei District, Chongqing,P.R. China 电话 Tel: ; 传真 Fax: ( 学校填写 The above table is only for Http//: Chinese higher education institutions) 重庆市人民政府学年度外国留学生市长奖学金申请表 APPLICATION FORM FOR CHONGQING MUNICIPAL GOVERNMENT MAYOR SCHOLARSHIP( ) 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.

cn Chinese higher education institutions) 重庆市人民政府 2009-2010 学年度外国留学生市长奖学金申请表 APPLICATION FORM FOR CHONGQING MUNICIPAL GOVERNMENT MAYOR SCHOLARSHIP(2008-2009) 请用中文或英文填写此

2 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. 照片 Photo 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 永久通信地址 /Permanent Address 2. 受教育情况 /Education Background 学校在校时间主修专业毕业证书及学位证书 Institution Years Attended(from/to) Fields of Study Certificates Obtained or To Obtain 3. 工作经历 /Employment Record 工作单位起止时间从事工作职务及职称

/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.

3 Employer Time(from/to ) Work Engaged 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 HKS 考试等级或其他类型汉语考试成绩 /Level of HKS 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. 来华学习计划 ( 第一类对象填写 )/Proposed Study in China (Only for the first kind of applicants) a) 本科生 /Bachelor s Degree Candidate: 汉语进修生 /Chinese Language Student: 硕士研究生 /Master s Degree Candidate: 普通进修生 /General Scholar: 博士研究生 /Doctoral Degree Candidate: 高级进修生 /Senior Scholar: b) 申请来华学习专业或研究专题 /Subject or Field of Study in China: c) 申请院校 /Preferences of Institutions of Higher Education in China: d) 申请来华专业学习时间 /Duration of the Major Study in China: 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 )/If Yes, please fill in the duration of your elementary

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.

4 Chinese study (not included in the length of the major study ). 否 /No: 6. 拟在华学习或研究的详细内容 ( 可另附纸 )/Please Describe the Details of your Study or Research Plan in China (an extra paper can be attached if this space is not enough) 7. 曾发表的主要学术论文著作及作品 /Academic Papers, Writing & Art Works Published 8. 申请人在华事务联系人或机构 / The Guarantor Charging Your Case in China: 名称 /Name: 电话 /Tel: 传真 /Fax: 地址 /Address: 9. 申请人是否曾在华学习或任职 /Have you ever Studied or Worked in China? 是 /Yes 学习或任职单位 /Institution or Employer 在华时间 /Time in China: 自 /From: 年 /Year 月 /Month 至 /To: 年 /Year 月 /Month

not enough) 7. 曾发表的主要学术论文著作及作品 /Academic Papers, Writing & Art Works Published 8.

5 否 /No 10. 申请人亲属情况 /Family Member of the Applicants: 姓名 Name 年龄 Age 职业 Employment 配偶 /Spouse: 父亲 /Father: 母亲 /Mother: * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 所附材料情况 ( 请在所附附件前划 X 标明 )/Materials Attached (Please Indicate with X in the Bracket.): 两封副教授或教授推荐信 /Two Letters of Recommendation by associate professors or professors. 有关重庆院校接受函或录取通知书 /Admission Letter or Admission Notice of Universities in Chongqing. 本人最后学历成绩单复印件 ( 须公证 )/Transcripts of the Most Advanced Studies (Notarized Photocopy). 本人最后学历证书复印件 ( 须公证 )/Diploma of the Most Advanced Studies (Notarized Photocopy): 本科 /Bachelor s 硕士 /Master s 博士 /Doctor s 其它 /Others 外国人体格检查记录 ( 复印件 )/ Foreigner Physical Examination Form (Photocopy). 来华学习计划 / Study Plan in China. 所发表的文章等 / Articles or Papers Written or Published (Photocopy). 美术作品 ( 本人作品彩照六张 ) 音乐作品 ( 本人音乐作品盒式录音带一盘 )( 只限申请美术和音乐专业的申请人 ) /Examples of Art (6 color pictures) and Music (1 audio tape) Work (Only for the applicants applying for Fine Arts and Music). 其它附件 ( 请列出 )/Other Attachments (List Needed):

* * * * * * * * * * * 所附材料情况 ( 请在所附附件前划 X 标明 )/Materials Attached (Please Indicate with X in the Bracket.

6 注 : 每份申请材料最多不超过 20 页, 请全部使用 A4 纸 Each set of the complete materials should not exceed 20 pages. Please use DIN A4. 无论申请人是否被录取, 上述申请材料恕不退还 Whether the candidates are accepted or not, all the application materials will not be returned. 申请人保证 /I Hereby Affirm That:. 1. 申请表中所填写的内容和提供的材料真实无误 ; All the information and materials given in this form are true and correct. 2. 在华期间, 遵守中国的法律法规, 不从事任何危害中国社会秩序的与本人来华学习身份不符合的活动 ; During my stay in China, I shall abide by the laws and decrees of the Chinese government, and will not participate in activities in China which are deemed to be adverse to the social order of China and are inappropriate to the capacity as a student. 3. 在学期间, 遵守学校的校纪校规, 全力投入学习和研究工作, 尊重学校的教学安排 ; During my study in China, I shall abide by the rules and regulations of the host university, concentrate on my study and researches and follow the teaching programs arranged by the university. 4. 按照规定参加重庆市人民政府外国留学生市长奖学金年度评审 ; I will go through the procedures of the Annual Review of Chongqing Municipal Government Mayor Scholarship as required. 5. 按规定期限修完学业, 按期回国, 不无故在华滞留 ; I shall return to my home country as soon as I complete my scheduled program in China and will not extend my stay without valid reasons. 6. 我保证, 未同时接受其它任何渠道的奖学金或资助 ; I declare that this is the only Scholarship I am applying for at present.

申请表中所填写的内容和提供的材料真实无误 ; All the information and materials given in this form are true and correct. 2.

7 7. 如违反上述保证而受到中国法律法规或校纪校规的惩处, 我愿意接受重庆市教育委员会中止或取消奖学金及其它相应的处罚 If I am judged by the Chinese laws, decrees and the rules and regulations of the university for having violated any of the above, I will not lodge any appeal against the decision of Chongqing Municipal Education Commission on suspending, withdrawing or other penalties. 申请人签字 /Signature of Applicant: 日期 /Date: ( 无此签名, 申请无效 /The application is invalid without the applicant s signature )

lodge any appeal against the decision of Chongqing Municipal Education Commission on suspending, withdrawing or other

2 受教育情况 /Education Background: 学校在校时间主修专业毕业证书及学位证书 Institutions Years Attended (from/to) Fields of Study Certificates Obtained o

2 受教育情况 /Education Background: 学校在校时间主修专业毕业证书及学位证书 Institutions Years Attended (from/to) Fields of Study Certificates Obtained o 北京体育大学国际教育学院 Beijing Sport University International Education College 中国北京市海淀区信息路 48 号 100084 No. 48 Xinxi Road, Hai Dian district, Beijing, P.R China 100084 Tel:0086-10-62989341 Fax:0086-10-62989472