省政府國際學生獎學金申請表

—PAGE2——PAGE1—附件2申請編號:No.ofAppllication**省政府國際學生獎學金申請表APPLICATIONFORMFOR***GOVERNMENTSCHOLARSHIP(HGS)申請就讀學校InstitutiontoApplyfor申請人姓名NameofApplicant填表日期Date**省教育廳編制DesignedbyEducationDepartmentof**Province目錄一、本申請表填寫說明………………12GuidelinesforFillinginThisApplicationForm二、**省政府國際學生獎學金申請表………………14ApplicationForm三、申請人保證書………17LetterofGuarantee四、所附材料情況………19MaterialsAttached

申請表填寫說明書（序號與申請表中每一項序號相對應(yīng)）GUIDELINESFORFILLINGINTHEAPPLICATIONFORM(THEORDINALNUMBERSCORRESPONDTOTHEORDINALNUMBERSINTHEFORM)本表為**省政府國際學生獎學金申請表，在填寫本申請表之前請詳細閱讀《**省政府國際學生獎學金管理暫行辦法》，了解申請**省政府國際學生獎學金的資格條件及有關(guān)規(guī)定。ThisistheApplicationFormfor**GovernmentScholarship(HGS)forInternationalStudents.Beforeyoufillinthisform,pleasereadcarefullyTheAdministrationMethodsfortheApplicationfor**GovernmentScholarshipforInternationalStudentssoastolearnaboutthequalificationsandrelatedregulationsofapplyingfor**GovernmentScholarshipforInternationalStudents請申請人認真閱讀以下填表說明。請用中文或英文填寫此表格。請用電腦打印或用藍色或黑色鋼筆認真書寫表格內(nèi)容。請在所選項的框內(nèi)劃‘X’。不按規(guī)定填寫的申請表將視作無效。PleasereadcarefullytheimportantnotesbelowbeforefillingintheformandcompletetheformeitherinChineseorEnglish.Iftheformisnotfilledinonthecomputer,pleasewritelegiblyinblackorblueink.Pleaseindicatewith‘X’intheblankchosen.Anyapplicationformthatdoesnotfollowthenoteswillberegardedasinvalid.申請人所有的個人信息必須如實填寫。Allpersonalinformationabouttheapplicantmustbefilledintrulyandcorrectly.請列出你已經(jīng)完成或即將完成的各級教育，包括中學、職業(yè)教育及高等教育各項。請隨材料附上經(jīng)公證的你的最高學歷證明、畢業(yè)證書或?qū)W位證書和學習成績單的原件復(fù)印件和英文翻譯件。Pleaseprovidethefollowinginformationaboutallthesecondary,vocational,technical,undergraduateorpostgraduatetrainingandqualificationsyouhavecompleted.NotarizedcopiesandEnglishtranslationsofyourhighesteducationcertificate,graduationanddegreecertificatesandofficialtranscriptsofstudyrecordsmustbesubmittedtogetherwiththeapplicationform.請列出你曾經(jīng)從事和現(xiàn)在從事的工作與現(xiàn)任職務(wù)。Pleaseclarifyyourworkexperiencesandyourpresentpost.本項說明你的語言水平情況，尤其是漢語和英語水平。這對你對申請人來華后的課程安排及授課語言非常重要。請隨申請表附上有關(guān)證明材料。Pleasestateyourproficiencylevelsoflanguages,especiallyChineseandEnglish,asthisisveryimportantforthearrangementofthecoursesandthelanguageusedforteachingafteryouarriveinChina.Ifyouhavepassedalanguagetest,pleaseincludeacopyoftheresultsinyourapplicationmaterials.Pleaseattachrelatedproofmaterials.請按本項提示選擇與填寫來華后的學習計劃PleasechooseorfillinyourstudyplaninChinaaccordingtothecluesgiveninthisitem.請說明你從事研究的題目或基本內(nèi)容，亦可以列出你希望在華學習的一些課程。這對于學校確定你的學習專業(yè)及授課教師非常重要Pleaseillustratethesubjectofyourresearchorthemaincontentofyourstudy.YoumayalsogivesomecoursesyouwanttoattendinChina.Thisiscrucialfortheuniversitytodecideyourmajorandarrangethecourseteachersforyou.請列出申請人曾經(jīng)發(fā)表的或曾寫過的論文、著作、作品。Pleaselistyouracademicpapers,worksandartworkspublished,ifany.在華聯(lián)系人或聯(lián)系機構(gòu)，關(guān)于申請人在華的有關(guān)事務(wù)，我們將與其聯(lián)系。PleaseprovidethepersoninChinainchargeofyourapplicationaffairsifyouhavesothatwewillcontacthim/herforyourapplicationaffairswhennecessary.如果你曾在中國學習或工作過，請告知你在華的學習院?；蚬ぷ鲉挝弧fyouhaveeverstudiedorworkedinChina,pleasespecifyyourinstitutionoremployerandtimeinChina。請?zhí)顚懩愕挠H屬的基本情況。Pleasefillinthegeneralinformationaboutyourfamilymembers.

**省政府國際學生獎學金申請表APPLICATIONFORMFOR***GOVERNMENTSCHLARSHIP(HGS)照片照片Photo護照用名/NameasinPassport:姓/FamilyName:____________________________________名/GivenName:_____________________________________國籍/Nationality:___________護照號碼/PassportNo.:____________出生日期/DateofBirth:年/Year_______月/Month_______日/Day_______出生地點/PlaceofBirth:國家/Country:_____________城市/City:_____________性別/Sex:男/Male□女/Female□婚姻狀況/MaritalStatus:已婚/Married□未婚/Single□喪偶/widowed□離異Divorced□母語/NativeLanguage:_____宗教/Religion:______________________當前聯(lián)系地址/PresentAddress:_______________________________________電話/Tel:_______傳真/Fax:____________E-mail:________________________永久通信地址/PermanentAddress:____________________________________受教育情況/EducationBackground:學校Institutions在校時間YearsAttended(from/to)主修專業(yè)FieldsofStudy畢業(yè)證書及學位證書CertificatesObtained工作經(jīng)歷/EmploymentRecord:工作單位Employer起止時間Time(from/to)從事工作WorkEngaged職務(wù)及職稱Post/AcademicStatus語言水平/LanguageProficiency:a)漢語/Chinese:很好/Excellent：□好/Good□一般/Fair□差/Poor□不會/Don’tKnow□HSK考試等級或其他漢語水平證書/LevelofHSKorothercertificateswhichcanshowyourChineselevel:________________________________________b)英語/English:很好/Excellent：□好/Good：□/Fair：□差/Poor：□不會/None：□我可以用英語學習專業(yè)課程/IcanlearnthespecialprogramsinEnglish:是/Yes□否/No□c)其他語言/OtherLanguages:________________水平/Proficiency來華學習計劃/StudyProposedinChina:a) 本科（學士）/Undergraduate(Bachelor’sDegree)Program □碩士學位/Master’sDegreeProgram □博士學位/Doctor’sDegreeProgram □b)學習專業(yè)/MajorofProgram:c)學習時間/DurationoftheProgram:自/From：______年/Year___月/Month至/To：______年/Year__月/Month擬在華學習或研究的詳細內(nèi)容（可另附紙）PleasedescribethedetailsofyourstudyorresearchplaninChina(anextrapapercanbeattachedifthisspaceisnotenough):________________________________________________________________________________________________________________________________________________________________________________________________________________________________曾發(fā)表的主要學術(shù)論文、著作及作品/AcademicPapers,Works&ArtworksPublished:________________________________________________________________________________________________________________________________________________________________________在華負責你申請事務(wù)的聯(lián)系人/ThePersoninChinainChargeofYourApplicationAffairs:姓名/Name:_________電話/Tel:________傳真/Fax:_________________地址/Address:____________________________________________申請人是否曾在華學習或任職/HaveyoueverstudiedorworkedinChina?是/Yes:□學習或任職單位/InstitutionorEmployer:______________________在華時間/TimeinChina:自/From:_____年/Year月/Month至/To:_____年/Year____月/Month否/No:□申請人親屬情況/FamilyMembersoftheApplicants:姓名年齡職業(yè)NameAgeOccupation配偶/Spouse:______________父親/Father:______________母親/Mother:______________

申請人保證書LetterofGuarantee我保證申請表中所填寫的所有內(nèi)容和提供的材料真實無誤；Iherebyaffirmthatalltheinformationandmaterialsgiveninthisformaretrueandcorrect.我保證除**省政府國際學生獎學金外未申請同一時間的其他中國政府獎學金；IensurethatbesidestheHGS,IhavenotappliedforanyotherChinesegovernmentscholarshipswithintheperiodIstudyinShanghai.Shanghai在華期間，我將遵守中國的法律、法規(guī)，不從事任何危害中國社會秩序的、與本人來華學習身份不符合的活動；DuringmystayinChina,IshallabidebythelawsanddecreesoftheChinesegovernment,andwillnotparticipateinanyactivitieswhicharedeemedtobeadversetothesocialorderofChinaandareinappropriatetomycapacityasastudent.我在享受獎學金期間不無故要求變更學校和所學專業(yè)；DuringtheperiodofmygettingHGS,Ishallnotapplyforanychangesofinstitutionandspecialtyofstudywithoutvalidreasons.在學期間，我將遵守學校的校紀、校規(guī)，全力投入學習和研究工作。尊重學校的教學安排；DuringmystudyinChina,Ishallabidebytherulesandregulationsofthehostuniversity,concentrateonmystudiesandresearches,andfollowtheteachingprogramsarrangedbytheuniversity.我將按照規(guī)定參加**省政府國際學生獎學金年度評審；IshallgothroughtheproceduresoftheannualassessmentofHGSstatusasrequired.我將按規(guī)定期限修完學業(yè)，按期回國，不無故在華滯留；IshallreturntomyhomecountryassoonasIcompletemyscheduledstudyprograminChina,andwillnotextendmystayinChinawithoutvalidreasons.如違反上述保證而受到中國法律、法規(guī)或校紀、校規(guī)的懲處，我愿意接受**省政府來華留學生獎學金管理委員會中止或取消獎學金及其它相應(yīng)的處罰。IfIamjudgedbytheChineselawsanddecreesandtherulesandregulationsoftheuniversityashavingviolatedanyoftheabove,IwillnotlodgeanyappealagainstthedecisionofHGSadministrationonsuspending,orwithdrawingmyscholarship,orothercorrespondingpenalties.申請人簽字/SignatureoftheApplicant:日期/Date:________________________________（無此簽名，申請無效/Theapplicationisinvalidwithouttheapplicant’ssignature）

所附材料情況（請在所附附件前劃‘X’標明）MaterialsAttached(PleaseIndicatewith‘X’inth