云南省政府奖学金申请表

云南省教育厅SCHOLARSHIPCOUNCILYUNNANPROVINCIALDEPARTMENTOFEDUCATION中国，云南省，昆明市，学府路2号；邮编：650223Add:No.2Xuefulu,6500223,Kunming,Yunnanprovince,P.R.China电话Tel：0086-871-5141238;传真Fax：0086-871-5141355Http//:（Theabovetableisonlyfor）云南省政府奖学金申请表请申请人认真阅读本表第四页的填表说明。请用中文或英文填写此表格。请用电脑打印或用蓝色或黑色钢笔认真书写表格内容，请在所选项框内划‘X’表示。不按规定填写的表格将视作无效。Pleasereadcarefullytheimportantnotesonthelastpagebeforefillingouttheform.PleasecompletetheforminChineseorEnglish.IftheformisnotfilledinonPC,pleasewritelegiblyinblackorblueink.Pleaseindicatewith‘X’intheblankchosen.Anyformsthatdonotfollowthenoteswillbeinvalid.1、申请人情况护照用名/PersonalInformation: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：男/Male□女/Female□已婚/Married□未婚/Single□其它/Other□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:2、受教育情况/EducationBackground:学校在校时间主修专业毕业证书及学位证书InstitutionYearsAttended(from/to)FieldsofStudyCertificatesObtainedorToObtain3、工作经历/EmploymentRecord:工作单位起止时间从事工作职务及职称EmployerTime(from/to)WorkEngagedPostsHeldNo.派遣方式学生类别经费办法学习专业安排院校：1、2、照片Photo4、语言能力/LanguageProficiency)a)汉语/Chinese:很好/Excellent□好/Good□较好/Fair□差/Poor□不会/None□HKS考试等级或其他类型汉语考试成绩/LevelofHKStestorothercertificateswhichcanshowyourChineselevel:b)英语/English:很好/Excellent□好/Good□较好/Fair□差/Poor□不会/None□我的英语水平可以用英语学习/IcanbetaughtinEnglish:是/Yes□否/No□c)其他语言/OtherLanguages:5、来华学习计划/ProposedStudyinChina:a)本科生/Bachelor’sDegreeCandidate:□汉语进修生/ChineseLanguageStudent:□硕士研究生/Master’sDegreeCandidate:□普通进修生/GeneralScholar:□研究学者/ResearchScholar:□高级进修生:□b)申请来华学习专业或研究专题/SubjectorFieldofStudyinChina:c)申请院校/PreferencesofInstitutionsofHigherEducationinChina:d)申请专业学习时间/DurationoftheMajorStudy:自/From:年/Year月/Month至/To:年/Year/Mothe)是否需要补习汉语/DoYouNeedElementaryChineseStudypriortotheMajorStudy?是/Yes:□请填写申请汉语补习时间（不计在专业学习时间）/If‘Yes’,pleaseindurationthedurationofyourelementaryChinesestudy(notincludedinthelengthofthemajorstudy).否/No:□6、拟在华学习或研究的详细内容（可另附纸）/PleaseDescribetheDetailsofyourStudyorResearchPlaninChina(anextrapapercanbeattachedifthisnotenough):7、曾发表的主要学术论文、著作及作品/AcademicPapers,Writing&ArtWorksPublished:8、推荐您申请中国政府奖学金的机构或个人/PleaseSpecifytheOrganizationorPersonRecommendingyouforthisScholarship:9、申请人在华事务联系人或机构/TheGuarantorChargingYourCaseinChina:名称/Name:电话/Tel:传真/Fax地址/Address:10、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/Yeas月/Moth至/To:年/Year月/Moth否/No□11、申请人亲属情况/FamilyMemberoftheApplicants:姓名年龄职业NameAgeEmployment配偶/Spouse:父亲/Father:母亲/Mother:************************************************◆所附材料情况（请在所附附件前‘X’标明）/materialsattached(PleaseIndicatewith‘X’intheBracket.):□两封推荐信/TwoLetterofRecommendation.□有关中国院校接受函或录取通知书/AdmissionLetterorAdmissionNoticeofChinaUniversities.□本人最后学历成绩单复印件（须公证）/TranscriptsoftheMostAdvancedstudies（Notarizedphotocopy）□本人最后学历证书复印件（须公证）/DiplomaoftheMostAdvancedStudied(Notarizedphotocopy)□本科/Bachelor’s硕士/Master’s博士/Doctor’s其它/Others□外国人体格检查记录（复印件）ForeignerphysicalExaminationFrom(photocopy)□来华学习计划/studyPlaninChina□所发表的文章等/ArticleorPaperswriterorpublished□美术作品（本人作品彩照六张）、音乐作品（本人音乐作品盒式录音带一盘）（只限申请美术和音乐专业的申请人）/ExamplesofArt(6colorpictures)andMusic(Iaudiotape)Work(OnlyfortheapplicantsapplyingforFineArtsandMusic)□其它附件（请列出）/OtherAttachments(Listtape):注：每份申请材料最多不超过20页，请全部用A4纸。Eachsetofthecompletematerialsshouldnotexceed20pages.PleaseuseDINA4.无论申请人是否被录取，上述申请材料恕不退还。Whetherthecandidatesareacceptedornot,alltheapplicationmaterialswillnotbereturned.申请人保证/IHerebyAffirmThat:.1.申请表中所填写的内容和提供的材料真实无误：Allinformationandmaterialsgiveninthisformaretrueandcorrect2.在华期间，遵守中国的法律、法规，不从事任何危害中国社会秩序的、与本人来华学习身份不符合的活动；DuringmystayinChina,IshallabidebythelawsanddecreesoftheChinesegovernment,andwillnotparticipateinactivitiesinChinawhicharedeemedtobeadversetothesocialorderofChinaandareinappropriatetothecapacityasastudent.3.来华后服从云南省教育厅所安排的就读院校和学习专业，不得无故要求变更学校和所学专业；IwillagreetothearrangementofmyinstitutionandspecialtyofstudyinChinamadebyYunnanProvincialDepartmentofEducation,andwillnotapplyforanychangesinthesetwofieldswithoutvalidreasons.4.在学期间，遵守学校的校纪、校规，全力投入学习和研究工作。尊重学校的教学安排；DuringmystudyinChina,Ishallabidetherulesandregulationsofthehostuniversity,andconcentrateonmystudyandresearches,andfollowtheteachingprogramsarrangedbytheuniversity.5.按照规定参加云南省政府奖学金年度评审；IwillgothroughtheproceduresoftheAnnualReviewofYunnanProvincialGovernmentScholarshipasrequired.6.按规定期限修完学业，按期回国，不无故在华滞留；IshallreturntomyhomecountryassoonasIcompletemyscheduledprograminChina,andwillnotextendmystaywithoutvalidreasons.7.我保证，未同时接受其它任何渠道的奖学金或资助。IdeclarethatthisistheonlyScholarshipIamapplyingforatpresent.8.如违反上述保证而受到中国法律、法规或校纪、校规的惩处，我愿意接受云南省教育厅中止或取消奖学金及其它相应的处罚。IfIamjudgedbytheChineselawsanddecreesandtherulesandregulationsoftheuniversityashavingviolatedanyoftheabove,IwillnotlodgeanyappealagainstthedecisionofYunnanProvincialDepartmentofEducationonsuspending,orwithdrawing,orotherpenalties.申请人签字/SignatureofApplicant:日期/Date:(无此签名，申请无效/Theapplicationisinvalidwithouttheapplicant’ssignature)填表说明（每一项数