奖学金NO.
学习类别:学习专业:
北京师范大学
BEIJINGNORMALUNIVERSITY(TheabovetableisonlyforBNU)
中国北京新街口外大街19号100875
No.19#XinjiekouwaiStreet,Beijing100875,P.R.China
Tel:+86-10-58800325E-mail:isp@bnu.edu.
Fax:+86-10-58800823Http://bnulxsh.
外国留学生奖学金申请表
APPLICATIONFORMOFSCHOLARSHIPFORINTERNATIONALSTUDENTS
请申请人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.
PleasepletetheforminChineseorEnglish.IftheformisnotfilledinonPC,pleasewritelegiblyinblackorblueink.Pleaseindicatewith"X"intheblankchosen.Anyformsthatdonotfollowthenoteswillbeinvalid.
奖学金类别/Scholarshipstype:
□北京市外国留学生奖学金BeijingGovernmentScholarshipforInternationalStudents
□北京师范大学留学生新生奖学金BNUFreshmenScholarshipforinternationalstudents
1.申请人情况/PersonalInformation:
中文姓名/ChineseName:
照片/Photo护照用名/PassportName:
姓/FamilyName:________________________________________________
名/GivenName:_________________________________________________
国籍/Nationality:______________护照/PassportNo.:_____________
出生日期/DateofBirth:________年/Year________月/Month________日/Day
出生地点/PlaceofBirth:国家/Country:____________城市/City:____________
性别/Gender:________________婚姻状况/MaritalStatus:________________
母语/NativeLanguage:_______________________宗教/Religion:_________________________________
当前联系地址/PresentAddress:_________________________________________________________________
_____________________________________________________________________________________________
/Tel:______________________传真/Fax:___________________E-mail:_____________________
永久通信地址/PermanentAddress:______________________________________________________________
_____________________________________________________________________________________________
2.教育背景/EducationBackground:
最高学历获得(将要获得)院校/InstitutionWheretheHighestAcademicDegreewasObtainedortoObtain:________________________________ ;______________________________
经费资助情况/SourceofFunding:
中国政府奖学金/ChineseGovernmentScholarship□校际交流/SchoolExchange□
单位或个人资助/EnterpriseorIndividualFunding□自费学习/Self-supporting□
获得(将要获得)的学位证书/CertificatesObtainedortoObtain:学士/Bachelor□硕士/Master□
入校时间/EnrollmentTime:______________年/Year______________月/Month______________日/Day
毕业(将要毕业)时间/GraduationTime:_____________年/Year____________月/Month____________日/Day
在校期间所获总学分/TotalCredits:_______________________
毕业论文题目/DissertationTitle:______________________________________________________________
3.现在学习或工作单位/PresentInstitutionorEmployer
机构(学校)名称/Name身份/Position起始时间/Time(from/to)
4.拟继续学习计划/ProposedStudyinChina:
时间/Time:自/From_______年/Year________月/Month_______日/Day
至/To_______年/Year________月/Month_______日/Day
拟继续攻读的学位/AcademicDegreetoObtain:
本科/Bachelor'sDegree□硕士/Master'sDegree□博士/Doctor'sDegree□
学习系所/PreferenceofDepartment:____________________________________________________________
所学专业/SubjectorFieldofStudy:____________________________________________________________
导师姓名(博士填写)/Supervisor(ForDoctoralStudents):________________________________________
5.曾发表的主要学术着作,论文及作品(请写明发表在哪类刊物上)/AcademicPapers,Writing&,ArtWorksPublished(Pleasespecifythepublication):
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
6.申请此项奖学金的原因/ReasonorScholarshipApplication:
________________________________________________________ ______________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
7.申请人在华事务联系人或机构/TheGuarantorChargingYourCaseinChina:
名称/Name:_____________________/Tel:_________________________传真/Fax:___________________
地址/Address:_________________________________________________________________________________
注/Note:每份申请材料最多不超过20页,请全部使用A4纸.
Eachsetofthepletematerialsshouldnotexceed20pages.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,
Allinformationandmaterialsgiveninthiormaretrueandcorrect.
2.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,andwillnotparticipateinanyactivitiesinChinawhicharedeemedtobeadversetothesocialorderofChinaandareinappropriatetothecapacityasastudent.
3.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,
DuringmystayinChina,Ishallabidebytherulesandregulationsofthehostuniversity,andconcentrateonmystudiesandresearches,andfollowtheteachingprogramsarrangedbytheuniversity.
4.按照规定参加北京师范大学外国留学生奖学金年度评审,
IshallgothroughtheproceduresoftheAnnualReviewofScholarshipforInternationalStudentsStatusasrequired.
5.如违反上述保证而受到中国法律,法规或校纪,校规的惩处,我愿意接受北京师范大学中止或取消奖学金及其它相应的处罚.
IfIamjudgedbytheChineselawsanddecreesandtherulesandregulationsoftheuniversityashiniolatedanyoftheabove,IwillnotlodgeanyappealagainstthedecisionofBeijingNormalUniversityonSuspending,orwithdrawingmyscholarship,orotherpenalties.
申请人签字/SignatureoftheApplicant:______________________日期/Date:_______________
(无此签名,申请无效/Theapplicationisinvalidwithouttheapplicant'ssignature)