华东师范大学博士后国际交流计划引进项目申请表

1、华东师范大学博士后国际交流计划引进项目申请表East Chi na Normal Un iversity PostdoctorAdmissio n Applicatio n Form for Applica nts Abroad申请一级学科名称：二级学科名称：Discipline:Specialty：、申请人简况Applicant's InformationName on ID证件姓名Highest Degree最后学位Sex性别Upload passport-sized ID photo show ing your full face and ears 上传两寸正面免冠照片Date

2、of Birth出生日期月曰年mm/dd/yyyyNati on ality/Regi on 国籍/地区Marital Status婚姻状况Chin ese Level汉语水平Place of Birth出生地City 城市 State or Province 省 Country 国家ID No.证件号Expirati on Date 证件有效 期_月_日年mm/dd/yyyyPlace of Issue签发地Teleph one 联系电话E-mail Address电子邮件Perma nent Address at Home Country 所在国家的永久地址Apartment number

3、 房间号 Street 街道 City 城市 State or province 省 Country 国家 Postal code 邮编Doctoral Thesis Title博士论文题目Educati onal Backgro und from college (most rece nt first and dates must be in cluded) 教育经历 (从大学填 起)In stitutio n学校From (dd/mm/yyyy) To (dd/mm/yyyy) 日期Degree & Certificate学位Area of Study专业Employme ntEx

4、perie nee (most rece nt first and dates must be in cluded) 工作经历Employer 工作单位From (dd/mm/yyyy) To (dd/mm/yyyy) 日期Positi on职位Place 地点、申请人主要学术成果 Applicant' s Major Academic Achievement2.1 Your represe ntative papers published in journ als or conference (in cludi ng ones accepted for publish ing)2.1

5、申请人在学术刊物或会议发表的代表性论文(含已被录用待发表)Title， Name of journal or conference， years, volume, period, all the author n ames (n ame of the applica nt in bold, corresp onding author n ame with "*" marks)Issued time发表时间SCI/EI/SSCI/AHCI录用情况IF影响 因子Cited他引论文题目，期刊名称，年，卷，期，所有作者姓名（申请人名字加粗， 通讯作者名字上用“ * ”标示）次数Bo

6、ok: Title, all the author names, publisher,( Name of the applicant in bold) 著作：书名，所有作者姓名，出版社(申请人名字加粗)Dates出版时间Words completed 个人字数Total Words总字数2.2 Your Research Projects2.2申请人读博士以来承担的主要科研项目Project Title项目名称Please list the title, funding bodies, total grant and funding period for all projects for wh

7、ich you are either Principal Investigator or the first Co-In vestigator.请罗列你作为主持人或首席辅助主持人项目的名称、资助机构、经费总额及资助年限2.3 Your Awards & Academic Honors2.3申请人读博士以来获奖情况Title获奖项目名称Type奖励名称funding bodies授奖单位Dates获奖年月Ra nk 本人 排序2.4 YourPatents2.4申请人读博士以来获得专利情况Pate nts Title专利名称Country专利授权国NO.专利号Dates授权年月Ra nk

8、本人排序三、申请人承诺 Applicant's StatementI declare that information supplied in this Application is correct and complete.（我声明所填申请信息是正确和完全 的。）I recognize it is my responsibility to provide all necessary documentary evidenee of my qualifications, education backgro und and employme nt experie nee and hereb

9、y authorize ECNU to obta in further in formatio n where n ecessary.（ 我有 责任提供证明我的资历、教育背景和任职经历的所需文件并授权华东师范大学在需要时获取更多材料。）ECNU reserves the right to withdraw any offer to me or cease my placeme nt at any stage duri ng my applicati on where false or misleadi ng in formation has been provided.（若在申请过程中发现提供虚假和错误信息，华东师范大学有权取 消对我的申请受理。）Sign ature of Applica ntDate（ dd/mm/year）The follow ing is