北京建筑大學(xué)

PAGE1PAGE1北京建筑大學(xué)國際學(xué)生獎學(xué)金申請表BEIJINGUNIVERSITYOFCIVILENGINEERINGANDARCHITECTUREAPPLICATIONFORMFORSCHOLARSHIP請申請人認(rèn)真閱讀本表第四頁的填表說明。請用中文或英文填寫此表格。請用電腦打印或用藍(lán)色或黑色鋼筆認(rèn)真書寫表格內(nèi)容。請在所選項框內(nèi)劃‘X’表示。不按規(guī)定填寫的表格將視作無效。Pleasereadcarefullytheimportantnotesonthelastpagebeforefillingouttheform.PleasecompletetheforminChineseorEnglish.IftheformisnotfilledinonPC,pleasewritelegiblyinblackorblueink.Pleaseindicatewith‘X’intheblankchosen.Anyformsthatdonotfollowthenoteswillbeinvalid.照片照片Photo申請人情況/PersonalInformation:護(hù)照用名/PassportName:姓/FamilyName:___________________________________________________名/GivenName:____________________________________________________國籍/Nationality:________________護(hù)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:_____________男/Male：□女/Female：□已婚/Married：□未婚/Single：□母語/NativeLanguage:_______________________宗教/Religion:______________________________________當(dāng)前聯(lián)系地址/PresentAddress:___________________________________________________________________電話/Tel:_____________________E-mail:________________________永久通信地址/PermanentAddress:_______________________________________________________________家庭電話/FamilyTel:_______________________________________________________________中國境內(nèi)緊急聯(lián)系人姓名/NameofEmergencyContactPersoninChina：______________________________與緊急聯(lián)系人關(guān)系/Relationshipwithhe/her：____________________緊急聯(lián)系人電話/EmergencyContactPersonTel：______________________________受教育情況/EducationBackground:學(xué)校Institutions在校時間YearsAttended(from/to)主修專業(yè)FieldsofStudy畢業(yè)證書及學(xué)位證書CertificatesObtainedorToObtain_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________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PostsHeld_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________語言能力/LanguageProficiency:a).漢語/Chinese:很好/Excellent：□好/Good：□較好/Fair：□差/Poor：□不會/None：□HSK考試等級或其他類型漢語考試成績/LevelofHSKtestorothercertificateswhichcanshowyourChineselevel:______________________________________________________________________________b).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□c).其他語言/OtherLanguages:___________________________________________________________________來華學(xué)習(xí)計劃/ProposedStudyinChina:a).本科生/Bachelor’sDegreeCandidate：□碩士研究生/Master’sDegreeCandidate：□博士研究生/Doctor’sDegreeCandidate：□研究學(xué)者/ResearchScholar:□漢語進(jìn)修生/ChineseLanguageStudent：□普通進(jìn)修生/GeneralScholar：□高級進(jìn)修生/SeniorScholar：□b).申請來華學(xué)習(xí)專業(yè)或研究專題/SubjectorFieldofStudyinChina:____________________________________申請專業(yè)學(xué)習(xí)時間/DurationoftheMajorStudy:自/From：年/Year_________月/Month_________至/To：年/Year_________月/Month_________擬在華學(xué)習(xí)或研究的詳細(xì)內(nèi)容（可另附紙）/PleaseDescribetheDetailsofyourStudyorResearchPlaninChina(anextrapapercanbeattachedifthisspaceisnotenough):__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________曾發(fā)表的主要學(xué)術(shù)論文、著作及作品/AcademicPapers,Writing&ArtWorksPublished:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________申請獎學(xué)金類別/ScholarshipApplied:全額獎學(xué)金/FullScholarship:□半額獎學(xué)金/HalfScholarship:□推薦您申請獎學(xué)金的機(jī)構(gòu)或個人/PleaseSpecifytheOrganizationorPersonRecommendingyouforthisscholarship_________________________________________________________________________申請人在華事務(wù)聯(lián)系人或機(jī)構(gòu)/TheGuarantorChargingYourCaseinChina:名稱/Name:_______________________________電話/Tel:_________________傳真/Fax:_________________地址/Address:_________________________________________________________________________________申請人是否曾在華學(xué)習(xí)或任職/HaveyoueverStudiedorWorkedinChina?是/Yes:□學(xué)習(xí)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)NameAgeEmployment配偶/Spouse:_____________________________________________________________________父親/Father:_____________________________________________________________________母親/Mother:_____________________________________________________________________﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡﹡·申請人保證/IHerebyAffirmThat:申請表中所填寫的內(nèi)容和提供的材料真實無誤；Allinformationandmaterialsgiveninthisformaretrueandcorrect.在華期間未曾違反中國法律、法規(guī)，不曾從事任何危害中國社會秩序的、與本人來華學(xué)習(xí)身份不符合的活動；DuringmystayinChina,IhaveneverviolatedChineselawsandregulations,norparticipatedinanyactivitiesinChinawhicharedeemedtobeadversetothesocialorderofChinaandareinappropriatetothecapacityasastudent.在華期間，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(xué)習(xí)身份不符合的活動；DuringmystayinChina,IshallabidebythelawsanddecreesoftheChinesegovernment,andwillnotparticipateinanyactivitiesinChinawhicharedeemedtobeadversetothesocialorderofChinaandareinappropriatetothecapacityasastudent.來華后服從學(xué)校的安排，不得無故要求變更學(xué)校和所學(xué)專業(yè)；IwillagreetothearrangementsofmyinstitutionandspecialtyofstudyinBeijingmadebytheUniversityandwillnotapplyforanychangesinthesetwofieldswithoutvalidreasons.在學(xué)期間，遵守學(xué)校的校紀(jì)、校規(guī)，全力投入學(xué)習(xí)和研究工作。尊重學(xué)校的教學(xué)安排；DuringmystudyinChina,Ishallabidetherulesandregulationsofthehostuniversity,andconcentrateonmystudiesandresearches,andfollowtheteachingprogramsarrangedbytheuniversity.按規(guī)定期限修完學(xué)業(yè)，按期回國，不無故在華滯留；IshallreturntomyhomecountryassoonasIcompletemyschedul