博士后研究人员工作期满登记表.doc

Applicants name全国博士后管委会办公室存 档 编 号 博 士 后 申 请 表 Application for Postdoctor AdmissionphotoStatementThis form is used as written material for those applying for postdoctoral position in P.R.China。The applicant must have received doctoral degree(or have passed thesis defense).It is requested that you should fill in the form truthfully and completely in black ink or print it. You can write “” in “” or leave it blank in option items.一、Institution and speciality you apply forInstitutionDepartment SpecialityDate of beginning research (y/m) 二、Institution from which you received you Ph.D degree and your speciality InstitutionDepartmentSpecialityDate of thesis defense 三、Your personal dataGendermale femaleDate of birth(y/m/d) NationalityEthnic groupNative placeMarital statussingle marriedID No.Professional titleStudy abroad yes no which country Cancel household register before leaving ChinaYes No四、Your foreign language abilityForeign languageReadingWritingListening and speaking1.excellent good fairexcellent good fairexcellent good fair2.excellent good fairexcellent good fairexcellent good fair3.excellent good fairexcellent good fairexcellent good fair五、Your present institution and mailing address InstitutionLiving cityPhone numberDetailed mailing addressZip code六、Basic information about your spouse and childrena. Spouse NameEthnic groupDate of birth(y/m/d) Native place Professional titleEducational levelOccupationWorking institutionWorking cityMailing addressZip codeb.ChildrenNameGenderDate of birth(y/m/d)Educationa statusmale female preschool primary schoolmiddle schoolmale female preschool primary schoolmiddle school七、Your educational background and working experience and the degrees you received(starting from college)Duration of time(y/m)InstitutionStudy or employment Received degree or position FromtostudyemploymentFromtostudyemploymentFromtostudyemploymentFromtostudyemploymentFromtostudyemployment八、Information on your doctorate dissertationTitleSupervisorResearch fieldbasic research application research development of engineering and technology Abstract of dissertation ( less than 160 words in English )：九、Your representative papers published in journals or conference proceedings (including accepted)TitleName of journal or conferenceIssued timeCountry 十、 Awards,funds and patents you acquiredNameDescribe your concrete researchNumber of itemsResearch achievementawardsScientificfundsPatents十一、Research plans for your postdoctoral work PlanAName of researchCategory of researchcontinuation of doctoral-period researchinstitutions project new project initialized after discussing with institution othersPlanBName of researchCategory of researchcontinuation of doctoral-period researchinstitutions project new project initialized after discussing with institution othersPlanCName of researchCategory of researchcontinuation of doctoral-period researchinstitutions project new project initialized after discussing with institution othersRese-arch planNotes: if cant write in above page ,please continue it with attachment十二、Your requirements and desirationsSpouses employment need to bring your spouse with you spouses name profession at present job hope to do other requirements Children education Childs name from _year_ month need to be sent to kindergarten elementary school middle school Childs name from _year_ month need be sent to kindergarten elementary school middle schoolHousing conditionFinancial support, instruments and others related to research十三、博士阶段本人身份及有关单位证明或意见(you neednt fill in this item)联合培养访问学者转读学位公派留学现役军人委托代培自费留学国家统招统分博士阶段本人身份 定向 在职 有关单位证明或意见：国家统招统分生由培养单位研究生院（处）证明，其它申请人由其原工作单位或定向单位的人事处（部队政治部干部处）盖章证明，留学人员除外。请如实填写下列内容：本博士后申请表所填内容是否属实：是否同意该同志做博士后：是否同意该同志期满离站时可以双向选择工作（统招统分生不填此项）： 单位公章 负责人签字 年 月 日十四、Your signature Signature Date (y/m/d) 专家推荐信 LETTER OF RECOMMENDATION致申请人（To the Applicant）申请人必需向申请做博士后的单位提交两份专家推荐信。申请人在下栏中填好自己姓名和所申请的单位名称后，将此表分送两位了解和熟悉自己的专家（其中一位最好是申请人的博士生指导教师）。为方便专家填写推荐意见后将其退回申请人，请申请人在下面的栏目中详细写明自己的通信地址。Applicant should have two letters or recommendation submitted from professors or others who can assess the quality of his/her academic performance, capability and potential of research. Please ask to have these letters sent directly to the institution to which you are applying or returned to you with the envelope sealed. (以下栏目由申请人填写 This section to be filled in by the applicant)申请人姓名 申请人电话 (Name or Applicant) (Telephone Number)申请人通信地址： (Institution of Applicant) (Address of Applicant)申请做博士后的单位 (Institution to which the applicant is applying) (Address of the institution)致推荐人 To the Referee 非常感谢您愿意为申请人做推荐人。请您在背面栏中对申请人以往科研工作及其学术水平、科研工作能力等作出评价，并按上面的地址将本专家推荐信退回给申请人。You are named by the applicant as a referee for his/her application of postdoctoral position in the above listed institution .We would appreciate your opinion of his/her academic performance capability and potential in research work .Please directly send this from to institution to which he/she is applying or return it to the applicant with the envelope sealed .If you prefer to write a personal letter rather than this from, please feel free to do so and attach this from to your letter.( 未完，请看背面 To the continued) (以下栏目由推荐人填写) The following to be filled in by the referee)推荐人姓名 (Name of Referee) 推荐人职务或职称 (Position and Tithe)推荐人工作单位 (Institution and Address)推荐人与申请人的关系 (Relationship with the Applicant)推荐人电话 推荐人传真 (Telephone Number) (Facsimile)推荐意见(Recommendation):推荐人签字 推荐日期 (Signature) (Date) 专家推荐信 LETTER OF RECOMMENDATION致申请人（To the Applicant）申请人必需向申请做博士后的单位提交两份专家推荐信。申请人在下栏中填好自己姓名和所申请的单位名称后，将此表分送两位了解和熟悉自己的专家（其中一位最好是申请人的博士生指导教师）。为方便专家填写推荐意见后将其退回申请人，请申请人在下面的栏目中详细写明自己的通信地址。Applicant should have two letters or recommendation submitted from professors or others who can assess the quality of his/her academic performance, capability and potential of research. Please ask to have these letters sent directly to the institution to which you are applying or returned to you with the envelope sealed. (以下栏目由申请人填写 This section to be filled in by the applicant)申请人姓名 申请人电话 (Name or Applicant) (Telephone Number)申请人通信地址： (Institution of Applicant) (Address of Applicant)申请做博士后的单位 (Institution to which the applicant is applying) (Address of the institution)致推荐人 To the Referee 非常感谢您愿意为申请人做推荐人。请您在背面栏中对申请人以往科研工作及其学术水平、科研工作能力等作出评价，并按上面的地址将本专家推荐信退回给申请人。You are named by the applicant as a referee for his/her application of postdoctoral position in the above listed institution .We would appreciate your opinion of his/her academic performance capability and potential in research work .Please directly send this from to institution to which he/she is applying or return it to the applicant with the envelope sealed .If you prefer to write a personal letter rather than this from, please feel free to do so and attach this from to your letter.( 未完，请看背面 To the continued) (以下栏目由推荐人填写) The following to be filled in by