2017贵州省东南亚奖学金用

For Guizhou Government Scholarship for Southeast Asia 2017

附件：

贵州省外国留学生奖学金申请表

GUIZHOU GOVERNMENT SCHOLARSHIP APPLICATION FORM

（20   年/Year）

申请人基本信息 Personal Information

姓 Family Name

名 Given Name

中文姓名

Name in Chinese

         photo

照 片

性别Sex

国籍Nationality

出生日期D.O.B.

YYYY-MM-DD

护照号码Passport No.

宗教信仰Religion

贵州项目学校

Apply for the designated Guizhou university

学习专业Fields of study

学习期限

Duration of study

From YYYY-MM-DD

To YYYY-MM-DD

本人通讯地址、电话及邮箱

Correspondence address, telephone number and Email address

ADD:

TEL:

EMAIL:

在华联系人姓名、地址、电话

Name, correspondence address and telephone number of the liaison in China

NAME:

ADD:

TEL:

主要教育经历（从高中开始）Major education experience (Start from senior high)

校名

School names

在校时间

Duration of study

主修专业

Fields of study

取得学位证书

Diploma

工作经历Work experiences

工作单位Organization  

工作时间Duration

职位Position

新HSK考试等级或其他类型汉语考试成绩Level of New HSK Test or other Certificates which can show your Chinese Level:

我希望申请 I want to apply for

全额奖学金

Full scholarship　

□博士研究生 Doctoral programs     

□本科生 Undergraduate programs      

□硕士研究生 Master’s programs

□专科生Vocational education programs

部分奖学金

Partial scholarship       

□博士研究生 Doctoral programs

□本科生 Undergraduate programs       

□汉语进修生Chinese language program  

□硕士研究生 Master’s programs

□专科生Vocational education programs

□专业进修生Visiting scholar programs   

是否需要汉语补习（仅供全额奖学金申请人选择）

Take Elementary Chinese Study or Not (For full scholarship applicants only)

□是Yes □否No 

1.请陈述选择到贵州留学的理由Please state the reasons you choose to study in Guizhou

2.请陈述选择专业的理由Please state the reasons you select the filed of study

所附材料说明（请在所附附件前划“×”标明）：

Materials Attached (Please indicate with “×” in the check.):

□ 护照复印件/A Photocopy of the Candidate’ s Passport;

□ 最高学历、学位证书复印件/ A Photocopy of Diploma of the Most Advanced Studies;

□ 成绩单的复印件/ A Photocopy of Transcripts of the Most Advanced Studies;

□ 在黔高校学习评价/Evaluation of Studies by Universities or Colleges in Guizhou;

□ 健康证明/ Health Check Report;

□ 推荐信/ Recommendation Letters;

□ 来黔学习/研究计划/Study or Research Plan in China;

□ 在华法定监护人有效证明的复印件/A Photocopy of the Prove of the Candidate’ s Legal Supervisor ( can be a passport, license, or other official ID);

□ HSK证书复印件/ A Photocopy of HSK Certificate;

□ 政府间、校际交流合作协议/Cooperative Agreements between Governments/Universities and Colleges

申请人保证　I  hereby  affirm  that

上述各项中所提供的情况是真实无误的。All the information filled in form is true and correct.

在华学习期间遵守中国政府的法律和学校的规章制度。I shall abide by the laws and decrees of the Chinese government and school regulations.

如违反上述保证而受到中国法律、法规或校纪、校规的惩处，我愿意接受中止或取消奖学金及其它相应的处罚。If I am judged by the Chinese laws and decrees and the rules and regulations of the university as having violated any of the above, I will not lodge any appeal against the decision on suspending, or withdrawing my scholarship, or other penalties.

申请人签字Applicant’s signature：                                日期Date:  

高校推荐意见

推荐意见：□优先推荐  □一般推荐  □不推荐

请详述推荐意见：

 签字（盖章）：                                 年     月     日