贵州民族大学
外国留学生奖学金申请表
Application Form for
Scholarship of Guizhou Minzu University
1. 申请人情况/Personal Information:
护照用名/ Name as in Passport:
姓/Family Name: 名/Given Name:
国籍/Nationality: 护照号码/Passport No.:
出生日期/Date of Birth: 年/Year 月/Month 日/Day
出生地点/Place of Birth: 国家/Country:
性别/Sex: 男/Male:□ 女/Female:□
当前联系地址/Present Address:
电话/Tel: 传真/Fax: E-mail:
永久通信地址/Permanent Address:
2. 受教育情况/Education Background:
学校 在校时间 主修专业 毕业证书及学位证书
Institutions Years Attended(from/to) Fields of Study Certificates Obtained or to Obtained
3. 工作经历/Employment Record:
工作单位 起止时间 从事工作 职务及职称
Employer Time (from/to) Work Engaged Posts/Academic Status
4. 在校学习计划/Proposed Study in GMU
a) 申请学习类别/Student Category
□ 本科(学士)/Undergraduate Program □ 硕士学位/Master Degree Program
□ 博士学位/Doctor Degree Program □ 汉语进修生/ Chinese language study
□ 其他/ others. 请说明/Please Specify:
b)申请学习专业/ Major of Study:
c)申请入学日期/Enrollment Time: 年(Yr.) 月(Mon.)
学习时间/Time of Study:
自/From 年/Year 月/Month至/To 年/Year 月/Month
5. 申请人在华事务联系人或机构/The Guarantor Charging Your Case in China:
名称/Name: 电话/Tel: 传真/Fax:
地址/Address
6. 申请人亲属情况/Family Members of the Applicant:
姓 名/Name 年龄/Age 职 业/Employment
配偶/Spouse:
父亲/Father:
母亲/Mother:
* * * * * * * * * * * * * * * * * * * * * * * *
申请人保证/I Hereby Affirm That:
1. 申请表中所填写的所有内容和提供的材料真实无误;
All the information and materials given in this form are true and correct.
2. 在华期间,我将遵守中国的法律、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;
During my stay in China, I shall abide by the laws and decrees of the Chinese government, and will not participate in any activities which are deemed to be adverse to the social order of China and are inappropriate to my capacity as a student.
申请人签字/Signature of the Applicant:
日期/Date:__ ______________________________
(无此签名,申请无效/The application is invalid without the applicant’s signature)
注:(1)本表与入学报名表及相关材料一起提交。
Submit this form with your admission Application Form For Foreign Student and relative supporting materials.
(2)无论申请是否被批准,上述申请材料恕不退还。
Whether the application is approved or not, all the application materials will not be returned.
中国·贵州·贵阳 550025 Office of International Exchange and Cooperation
贵州民族大学 GUIZHOU MINZU UNIVERSITY
国际交流与合作处 GUIYANG 550025
GUIZHOU PROVINCE, P.R.C
电话:0851-83613075 TEL: 0851-83613075
传真: 0851-83613075 FAX: 0851-83613075
电子信箱:gzmuadmission@sina.com E-MAIL:gzmuadmission@sina.com