国际学生奖学金申请表

—PAGE2——PAGE1—**省政府国际学生奖学金申请表APPLICATIONFORMFOR***GOVERNMENTSCHLARSHIP(HGS)照片照片Photo护照用名/NameasinPassport:姓/FamilyName:____________________________________名/GivenName:_____________________________________国籍/Nationality:___________护照号码/PassportNo.:____________出生日期/DateofBirth:年/Year_______月/Month_______日/Day_______出生地点/PlaceofBirth:国家/Country:_____________城市/City:_____________性别/Sex:男/Male□女/Female□婚姻状况/MaritalStatus:已婚/Married□未婚/Single□丧偶/widowed□离异Divorced□母语/NativeLanguage:_____宗教/Religion:______________________当前联系地址/PresentAddress:_______________________________________电话/Tel:_______传真/Fax:____________E-mail:________________________永久通信地址/PermanentAddress:____________________________________受教育情况/EducationBackground:学校Institutions在校时间YearsAttended(from/to)主修专业FieldsofStudy毕业证书及学位证书CertificatesObtained工作经历/EmploymentRecord:工作单位Employer起止时间Time(from/to)从事工作WorkEngaged职务及职称Post/AcademicStatus语言水平/LanguageProficiency:a)汉语/Chinese:很好/Excellent：□好/Good□一般/Fair□差/Poor□不会/Don’tKnow□HSK考试等级或其他汉语水平证书/LevelofHSKorothercertificateswhichcanshowyourChineselevel:________________________________________b)英语/English:很好/Excellent：□好/Good：□/Fair：□差/Poor：□不会/None：□我可以用英语学习专业课程/IcanlearnthespecialprogramsinEnglish:是/Yes□否/No□c)其他语言/OtherLanguages:________________水平/Proficiency来华学习计划/StudyProposedinChina:a) 本科（学士）/Undergraduate(Bachelor’sDegree)Program □硕士学位/Master’sDegreeProgram □博士学位/Doctor’sDegreeProgram □b)学习专业/MajorofProgram:c)学习时间/DurationoftheProgram:自/From：______年/Year___月/Month至/To：______年/Year__月/Month拟在华学习或研究的详细内容（可另附纸）PleasedescribethedetailsofyourstudyorresearchplaninChina(anextrapapercanbeattachedifthisspaceisnotenough):________________________________________________________________________________________________________________________________________________________________________________________________________________________________曾发表的主要学术论文、著作及作品/AcademicPapers,Works&ArtworksPublished:________________________________________________________________________________________________________________________________________________________________________在华负责你申请事务的联系人/ThePersoninChinainChargeofYourApplicationAffairs:姓名/Name:_________电话/Tel:________传真/Fax:_________________地址/Address:____________________________________________申请人是否曾在华学习或任职/HaveyoueverstudiedorworkedinChina?是/Yes:□学习或任职单位/InstitutionorEmployer:______________________在华时间/TimeinChina:自/From:_____年/Year月/Month至/To:_____年/Year____月/Month否/No:□申请人亲属情况/FamilyMembersoftheApplicants:姓名年龄职业NameAgeOccupation配偶/Spouse:______________