西南大学外国留学生新丝路奖学金申请表

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1、西南大学外国留学生“新丝路”奖学金申请表APPLICATIONFORMFORSOUTHWESTUNIVERSITY“NEWSILKROAD”SCHOLARSHIP请用中文或英文填写此表格。请用电脑填写本表格内容后打印出来，请在所选项框内划‘X’表示。不按规定填写的表格将视作申请无效。Pleasereadcarefullytheimportantnotesonthelastpagebeforefillingouttheform.PleasecompletetheforminChineseorEnglish.ThisformshouldbefilledinonPCandpri

2、ntitout.Pleaseindicatewith‘X’intheblankchosen.Anyformsthatdonotfollowthenoteswillbeinvalid.照片Photo1.申请人情况/PersonalInformation护照用名/PassportName姓/FamilyName:名/GivenName:国籍/Nationality:护照号码/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男/Male□女

3、/Female□婚姻状况/MaritalStatus已婚/Married□未婚/Single□其它/Other□母语/NativeLanguage宗教/Religion当前联系地址/PresentAddress:电话/Tel:传真/Fax:E-mail:永久通信地址/PermanentAddress:接收录取通知书地址（包含国家、省州、城市、街道、邮编信息）/Addressforreceivingadmissionnotice(Street,City,State/Province,Country,Postcode):2.受教育情况/EducationBackground学

4、校在校时间主修专业毕业证书及学位证书InstitutionYearsAttended(from/to)FieldsofStudyCertificatesObtainedorToObtain3.工作经历/EmploymentRecord工作单位起止时间从事工作职务及职称EmployerTime(from/to)WorkEngagedPostsHeld4.语言能力/LanguageProficiency)a)汉语/Chinese:很好/Excellent□好/Good□较好/Fair□差/Poor□不会/None□HKS考试等级或其他类型汉语考试成绩/LevelofHKSte

5、storothercertificateswhichcanshowyourChineselevel:b)英语/English:很好/Excellent□好/Good□较好/Fair□差/Poor□不会/None□c)其他语言/OtherLanguages:d)申请授课语言/LanguageofInstruction：汉语/Chinese□英语/English□5.来华学习计划/ProposedStudyinChinaa)本科生/Bachelor’sDegreeCandidate:□硕士研究生/Master’sDegreeCandidate:□博士研究生/DoctoralD

6、egreeCandidate:□b)申请来华学习专业或研究专题/ProgramorMajorofStudyinSWU:c)申请来华专业学习时间/DurationoftheMajorStudyinChina:自/From:年/Year月/Month至/To:年/Year月/Monthd)是否需要补习汉语/DoYouNeedElementaryChineseStudyPriortotheMajorStudy?是/Yes:□请填写申请汉语补习时间（不计在专业学习时间）/If“Yes”,pleasefillinthedurationofyourelementaryChineses

7、tudy(notincludedinthelengthofthemajorstudy).否/No:□6.申请奖学金类别/CategoryofscholarshipyouapplyforA类奖学金/TypeAScholarship(coverstuitionfeeandmonthlylivingallowance)□B类奖学金/TypeBScholarship(coverstuitionfee)□7.拟在校学习或研究的详细内容（可另附纸）/PleaseDescribetheDetailsofyourStudyorResearch