留學(xué)基金管理委員會

CSCCSCCHINASCHOLARSHIP中國車公莊大街9號A3-13100044No.9A3-13chegongzhuangStreet,Beijing:0086- Fax:0086- （Theabovetableisonlyfor Pleasereadcarefullytheimportantnotesonthelastpagebeforefillingouttheform.PleasecompletetheforminChineseorEnglish.IfformisnotfilledinonPC,pleasewritelegiblyinblackorblueink.Pleaseindicatewith‘X’intheblankchosen.Anyformsthatdonotfollowthenoteswillbeinvalid.申請人情況/al姓/Family名/Given國籍 護(hù)照號碼/Passport出生日期/DateofBirth:年/Year 出生地點/PlaceofBirth:國家/Country: 男/Male：□女/Female：□已婚/Married：□未婚/Single：□ 母語/NativeLanguage: 當(dāng)前聯(lián)系地址/Present/ 傳真 E-/永久通信地址/Permanent

Fieldsof

書 sObtainedorToObtain工作經(jīng)歷/Employment

Posts語言能力/Language漢語/Chinese:很好/Excellent：□好/Good：□較好/Fair：□差/Poor：□不會HSK考試等級或其他類型漢語考試成績/LevelofHSKtestorother swhichcanshowyourChineselevel:英語/English:很好/Excellent：□好/Good：□較好/Fair：□差/Poor：□不會/None：□我的英語水平可以用英語學(xué)習(xí)/IcanbetaughtinEnglish: 是/Yes□ 否/No□來華學(xué)習(xí)計劃/ProposedStudyin本科生/Bachelor’sDegree

普通進(jìn)修生/GeneralScholar：□高級進(jìn)修生/Senior申請來華學(xué)習(xí)專業(yè)或研究專題/SubjectorFieldofStudyin申請院校/PreferencesofInstitutionsofHigherEducationin 月 月是/Yes：□請?zhí)顚懮暾垵h語補習(xí)時間（不計在專業(yè)學(xué)習(xí)時間內(nèi)）If‘Yes’,pleaseindicatethedurationofyourelementaryChinesestudy(notincludedinthelengthofthemajorstudy). 月 月否擬在華學(xué)習(xí)或研究的詳細(xì)內(nèi)容（可另附紙）PleaseDescribetheDetailsofyourStudyorResearchPlaninChina(anextrapapercanbeattachedifthisspaceisnotenough):曾的主要學(xué)術(shù)、著作及作品/AcademicPapers,Writing&ArtWorks申請獎學(xué)金類別/Scholarship全額獎學(xué)金/FullScholarship:學(xué)費/Tuition:□住宿 modation:□醫(yī)療費/MedicalCare:□費/Learning推薦您申請中國獎學(xué)金的機構(gòu)或個人/PleaseSpecifytheOrganizationor mendingyouforthisScholarship://

傳真申請人是否曾在華學(xué)習(xí)或任職/HaveyoueverStudiedorWorkedin是/Yes:/Institutionor在華時間/TimeinChina:自/From:年 月 月否申請人親屬情況/FamilyMembersofthe 配偶父親/Father母親﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡所附材料情況（請在所附附件前劃‘X’標(biāo)明）/MaterialsAttached(PleaseIndicatewith‘X’inthe申請表（一式兩份）ApplicationFormin兩封推薦信/TwoLetters 有關(guān)中國院校接受函或錄取通知書/AdmissionLetterorAdmissionNoticeofChinese本人最后學(xué)歷成績單復(fù)印件（須，一式兩份）/TranscriptsoftheMostAdvancedStudies(Notarized ，一式兩份）/DiplomaoftheMostAdvancedStudies(NotarizedPhotocopy)：本科/Bachelor’s□ /Master’s□ 博士/Doctor’s□ 其它/Others□外國格檢查記錄（復(fù)印件）/ForeignerPhysicalExaminationForm來華學(xué)習(xí)計劃StudyPlanin所的文章等/ArticlesorPapersWrittenorofArt(6colorpictures)andMusic(1audiotape)Work(OnlyfortheapplicantsapplyingforFineArtsandMusic).其它附件（請列出）/OtherAtta ents(ListNeeded)：Eachsetofthecompletematerialsshouldnotexceed20pages.PleaseuseDINWhetherthecandidatesareacceptedornot,alltheapplicationmaterialswillnotbeAllinformationandmaterialsgiveninthisformaretrueandDuringmystayinChina,IshallabidebythelawsanddecreesoftheChinese ernment,andwillnotparticipateinanyactivitiesinChinawhicharedeemedtobeadversetothesocialorderofChinaandareinappropriatetothecapacityasastudent.IwillagreetothearrangementsofmyinstitutionandspecialtyofstudyinChinamadebyCSC,andwillnotapplyforanychangesinthesetwofieldswithoutvalidreasons.DuringmystudyinChina,Ishallabidetherulesandregulationsofthehostuniversity,andconcentrateonmystudiesandresearches,andfollowtheteachingprogramsarrangedbytheuniversity.IshallgothroughtheproceduresoftheAnnualReviewof IshallreturntomyhomecountryassoonasIcompletemyscheduledprograminChina,andwillnotextendmystaywithoutvalidIfIamjudgedbytheChineselawsanddecreesandtherulesandregulationsoftheuniversityashavingviolatedanyoftheabove,willnotlodgeanyappealagainstthedecisionofCSConsuspending,orwithdrawingmyscholarship,orother

日期填表說明（每一項數(shù)字與申請表中每一項序號相對應(yīng)alinformationabouttheapplicantmustbefilledintrulyand Pleaseprovidethefollowinginformationforallcompletedsecondary,vocational,technical,undergraduateorpostgraduatetrainingandqualifications. pletecoursesshouldalsobelisted.OnenotarizedcopyofyourofficialsandnotarizedcopiesofEnglishtranslationsofyourhighesteducationmustbeincludedwitheachapplicationPleaseclarifyyourworkexperiencesandyoucurrentPleasestateyourknowledgeoflanguages,especiallyChineseandEnglish.Ifyouhavepassedalanguagetest,pleaseincludeacopyoftheresultsinyourapplicationmaterialsThisisveryimportantbecauseitwilldecideyourteachinglanguageinChina. TheapplicantwillchoosethedetailedinformationconcerninghisstudyinChinaaccordingtothecluesgiveninthiscell.CSCisentitledtomakeanynecessaryadjustmentaccordingtotheapplicant’spreferences.PleasechoosewhatlevelofstudyyouwanttobeengagedininPleasespecifyyoursubjectorfieldofstudyin PleasechoosethreepreferencesofChineseinstitutionsamongtheChineseuniversitieswhichcanacceptedChineseernmentScholarshipstudentsandlistthemintheblankshere.ThefinalarrangementofinstitutionissubjecttotheadjustmentofCSCwithyourchoicesasreferences.IfyouhavebeenacceptedbyaChineseuniversity,pleaseattachtheoftheiradmissionnoticetoyourapplicationDurationofthemajorstudyappliedinSincetheteachinglanguageofChineseuniversitiesisChinese,it’sveryimportantforyoutolusinthiscellwhetheryouneedelementaryChinesestudypriortoyourmajorstudyornot.If“Yes”,pleaseindicatethedurationoftheChinesestudy(notincludedinthelengthofmajorstudy).Pleaseillustratethesubjectofyourresearchorthemaincontentofyourstudy,youcanalsogivesomecoursesyouwanttoattendinChina.Itiscrucialfortheuniversitytodecideyourmajorandarrangetheprofessorforyou. Pleaselisthereyouracademicpapers,writingandartworkpublishedorwritten,if中 ChoosetheScholarshi