长城奖学金申请表.docx

中国国家留学基金管理委员会CHINASCHO1.ARSHIPCOUNCI1.中Ea北京年公立大物9号A*13100044No.9A313chcogzhangStreet.BcijingPRChinMOoO44、Te1.:O(JK61(卜660939(10E-mai1.:HihgFgCO$¢6"106609S915H11p,www.csc.cduxnCSCNO.派遣途径：学生奥别：经费办法:学习专业：安拌度校：1.2.3.(Theatn>vctab1.eison1.yforCSC)中国政府长城奖学金申请表APP1.ICATIONFORMFORchinajnesco-thegreatwa1.1.fe1.1.owship请申请人执兵闵诙本式第旧页的填表说,明.请用中文我英文填写比&格.靖用电标打卬或用黄色或，.色纲Z认算方耳茨格内g.在所逡M机内刈-X-表示。不按规定填芍的表格将视作七效.P1.CaSCrc<icarefu1.1.ytheimportant11o<csontheIaNtpagebc1.<xeIiIIinXoutIhcform.P1.caycomp1.etethe1.<rminChincwOrEnj1.ish.Iftheformisxfi1.1.edinonPC.p1.easewrite1.egib1.yinb1.ackorHueink.P1.easeindicatewith,X'intheb1.ankchosen.AnyfbmsIhatdonotfo1.1.owthenote%wi1.1.beinva1.id.申请人/Persona1.Infomuition:护yJf1.名，PaSSPortName:姓/Fami1.yName:名/GivenName:国/Nationa1.ity:护度号码/PassportNo.:出生日期/Da1.eofBir1.h:年，Year月/Mn1.h曰/Day出生地点/P1.aceofBin忙S/Country:城市/Ci1.y:男，Mak：¼,Fema1.e：d-,Ma11,ied:未将Sing1.e:其它Qhen母语JNa1.iVC1.anguage:宗Re!igion:当前疆系地址/PreseniAddress:电话/Te1.:A/Fax:E-mai1.:永久通信地址/PermanentAddress:受it情况，EdUCa1.ionBackground:学校在纥时间InstitutionsYearsAttended(from(0)主修专业Fie1.dsofStudy毕业证朽及学徒证书CertificatesObtainedorToObtain3.工作经历，EmPIcymemRecord:工作单位起止时刈Emp1.oyer,11mc(from*to)从事工作WorkEngaged军务及职救PostsHe1.d4. 海旨能力，1.anS1.I1.igCProficiency:哈汉由ChinCSC:很坳EXCMem：if/Good:较好/Rdr:Poor:不会，NOnc：HSK考试曾级或其他臭型汉语考试成绩，1.eve1.ofHSK<e$torothercertificateswhichcanshowyourChinese1.eve1.:b).英语，EngJiSh:很好/Exce1.1.ent:好，Good:较好/Fair:A.,P(x>r:不会小Ionu我的英语水平可以用英语学习CdnbCIaUgh1.inEngJish:YesS/NoC).其他语言/Other1.anguages:5. 来华学习计!/ProposedStudyinChina:*本科生JBachdcr'sDcgnxCandida1.c:汉语遗传生,Chinese1.anguageSuidcm:硕士研究生，MaS1.e/SDegieeCandidaie:普通送修生,Generu1.Scho1.ar：博士研究生/Doctor'sDegreeCandidate:高级选传生/SeniorScho1.ar:b)申请来华学习专业或研究专题/SubjectorFie1.dofStudyinChina:C).申请院校/PreferencesofInstiiuiionsofHigherEducationinChina:I.II.III.d),中请专业学习时刈/DuraMonoftheMajorStudy:/From:-.'Ycar月/Month至/To:4Ycar月/Monthe),是否寄雯补习汉语，DoYouNeedE1.ene11ar>,ChineseStudyprioroIheMajorStudy?是，Yes:O请填写申请汉语补习时间(不计在专业学习时河内)/IfftYes,.p1.easeindicatethedurationofyoure1.ementaryChineSestudy(notinc1.udedinthe1.engthofhemajorsdy).From:庠Ycar月/Month至/Tb:年/Year月/Month否/No:6. 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