APPLICATION FORMFOR SHANGHAI GOVERNMENT SCHOLARSHIP SGSClass A.docx
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APPLICATIONFORMFORSHANGHAIGOVERNMENTSCHOLARSHIPSGSClassA
上海市外国留学生政府奖学金申请表(A类)
APPLICATIONFORM
FORSHANGHAIGOVERNMENTSCHOLARSHIP(SGS)
ClassA
申请就读学校
InstitutiontoApplyfor
申请人姓名
NameofApplicant
填表日期
Date
年月日
YearMonthDate
申请编号
No.ofApplication
上海市教育委员会编制
DesignedbyShanghaiMunicipalEducationCommission
目录
一、本申请表填写说明……………………………………………………………………3
GuidelinesforFillinginThisApplicationForm
二、上海市外国留学生政府奖学金申请表………………………………………………5
ApplicationForm
三、申请人保证书…………………………………………………………………………8
LetterofGuarantee
四、所附材料情况……………………………………………………………………….....9
MaterialsAttached
申请表填写说明书
(序号与申请表中每一项序号相对应)
GUIDELINESFORFILLINGINTHEAPPLICATIONFORM
(THEORDINALNUMBERSCORRESPONDTOTHEORDINALNUMBERSINTHEFORM)
本表为上海市外国留学生政府奖学金申请表(A类),在填写本申请表之前请详细阅读《上海市外国留学生政府奖学金申请管理办法》及《上海市外国留学生政府奖学金(A类)申请细则》,了解申请上海市外国留学生政府奖学金(A类)的资格条件及有关规定。
ThisistheApplicationFormforShanghaiGovernmentScholarship(SGS)forInternationalStudents(ClassA).Beforeyoufillinthisform,pleasereadcarefullyTheAdministrationMethodsfortheApplicationforShanghaiGovernmentScholarshipforInternationalStudentsandTheDetailsforApplicationforShanghaiGovernmentScholarshipforInternationalStudentssoastolearnaboutthequalificationsandrelatedregulationsofapplyingforShanghaiGovernmentScholarshipforInternationalStudents(ClassA)
请申请人认真阅读以下填表说明。
请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。
请在所选项的框内划‘X’。
不按规定填写的申请表将视作无效。
PleasereadcarefullytheimportantnotesbelowbeforefillingintheformandcompletetheformeitherinChineseorEnglish.IftheformisnotfilledinonPC,pleasewritelegiblyinblackorblueink.Pleaseindicatewith‘X’intheblankchosen.Anyapplicationformthatdoesnotfollowthenoteswillberegardedasinvalid.
1.申请人所有的个人信息必须如实填写。
Allpersonalinformationabouttheapplicantmustbefilledintrulyandcorrectly.
2.请列出你已经完成或即将完成的各级教育,包括中学、职业教育及高等教育各项。
请随材料附上经公证的你的最高学历证明、毕业证书或学位证书和学习成绩单的原件复印件和英文翻译件。
Pleaseprovidethefollowinginformationallsecondary,vocational,technical,undergraduateorpostgraduatetrainingandqualificationsyouhavecompletedorwillcomplete.NotarizedcopiesandEnglishtranslationsofyourhighesteducationcertificate,graduationanddegreecertificatesandofficialtranscriptsofstudyrecordsmustbesubmittedtogetherwiththeapplicationform.
3.请列出你曾经从事和现在从事的工作及现任职务。
Pleaseclarifyyourworkexperiencesandyourpresentpost.
4.本项说明你的语言水平情况,尤其是汉语和英语水平。
这对你来华后的课程安排及授课语言非常重要。
如果你已通过语言测试,请附上成绩单复印件。
请随申请表附上有关证明材料。
Pleasestateyourproficiencylevelsoflanguages,especiallyChineseandEnglish,asthisisveryimportantforthearrangementofthecoursesandthelanguageusedforteachingafteryouarriveinChina.Ifyouhavepassedalanguagetest,pleaseincludeacopyoftheresultsinyourapplicationmaterials.Pleaseattachrelatedproofmaterials.
5.请按本项提示选择与填写来华后的学习计划。
PleasechooseorfillinyourstudyplaninChinaaccordingtothecluesgiveninthisitem.
6.请说明你从事研究的题目或基本内容,亦可以列出你希望在华学习的一些课程。
这对于学校确定你的学习专业及授课教师非常重要。
Pleaseillustratethesubjectofyourresearchorthemaincontentofyourstudy,youmayalsolistsomecoursesyouwanttoattendinChina.Thisiscrucialfortheuniversitytodecideyourmajorandarrangethethecoursetutorsforyou.
7.请列出你曾经发表的论文、著作、作品。
Pleaselistyouracademicpapers,worksandartworkspublished,ifany.
8.如果你有在华联系人,请提供,以便我们在必要时就你的申请与其联系。
PleaseprovidethepersoninChinainchargeofyourapplicationaffairsifyouhavesothatwewillcontacthim/herforyourapplicationaffairswhennecessary.
9.如果你曾在中国学习或工作过,请告知你在华的学习院校或工作单位。
IfyouhaveeverstudiedorworkedinChina,pleasespecifyyourinstitutionoremployerandtimeinChina。
10.请填写你的亲属的基本情况。
Pleasefillinthegeneralinformationaboutyourfamilymembers.
11.申请人对调整奖学金申请标的的意愿。
PleasestatewhetheryouconsiderapplyingforscholarshipBasyouranotherchoiceifyoufailtogetScholarshipA.
上海市外国留学生政府奖学金申请表(A类)
APPLICATIONFORM
FORSHANGHAIGOVERNMENTSCHOLARSHIP(SGS)CLASSA
1.
照片
Photo
申请人情况/PersonalInformation
护照用名/NameasinPassport:
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/Sex:
男/Male□女/Female□
婚姻状况/MaritalStatus:
已婚/Married□未婚/Single□丧偶/Widowed□离异/Divorced□
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:
____________________________________
2.受教育情况/EducationBackground
学校
Institutions
在校时间
YearsAttended
(from/to)
主修专业
FieldsofStudy
毕业证书及学位证书
CertificatesObtained
3.工作经历/EmploymentRecord
工作单位
Employer
起止时间
Time(from/to)
从事工作
WorkEngaged
职务及职称
Posts/AcademicStatus
4.语言水平/LanguageProficiency
a)汉语/Chinese:
很好/Excellent□好/Good□一般/Fair□差/Poor□不会/Don’tknow□
HSK考试等级或其他汉语水平证书/LevelofHSKtestorothercertificateswhichcanshowyourChineselevel:
________________________________________
b)英语/English:
很好/Excellent□好/Good□一般/Fair□差/Poor□不会/Don’tknow□
我的英语水平可以用英语学习/IcanbetaughtinEnglish:
是/Yes□否/No□
c)其他语言/OtherLanguages:
_________________水平/Proficiency:
______
5.来华学习计划/PlanforStudyinChina
a)本科(学士)/Undergraduate(Bachelor’sDegree)Program□
硕士学位/Master’sDegreeProgram□
博士学位/Doctor’sDegreeProgram□
b)学习专业/MajorofStudy
c)学习时间/DurationoftheStudy
自/From:
______年/Year______月/Month至/To:
______年/Year_____月/Month
6.拟在华学习或研究的详细内容(可另附纸)
PleaseDescribetheDetailsofyourStudyorResearchPlaninChina(anextrapapercanbeattachedifthisspaceisnotenough):
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
7.曾发表的主要学术论文、著作及作品
AcademicPapers,Works&ArtworksPublished:
________________________________________________________
________________________________________________________
________________________________________________________
8.在华负责你申请事务的联系人/ThePersoninChinainChargeofYourApplicationAffairs:
姓名/Name:
_________电话/Tel:
________传真/Fax:
_________________
地址/Address:
____________________________________________
9.申请人是否曾在华学习或任职/HaveyoueverstudiedorworkedinChina?
是/Yes:
□学习或任职单位/InstitutionorEmployer:
______________________
在华时间/TimeinChina:
自/From:
_____年/Year__月/Month至/To:
____年__月/Month否/No:
□
10.申请人亲属情况/FamilyMembersoftheApplicants:
姓名/Name年龄/Age职业/Occupation
配偶/Spouse______________
父亲/Father______________
母亲/Mother_______________
11.在本奖学金申请未获通过的情况下,你是否同意申请上海市外国留学生政府奖学金(B类)?
IncaseyoufailtogetthisScholarshipA,wouldyouagreeordisagreetocontinuetoapplyforScholarshipB?
同意/Agree□不同意/Disagree□
申请人保证书
LetterofGuarantee
1.我保证申请表中所填写的所有内容和提供的材料真实无误;
Iherebyaffirmthatalltheinformationandmaterialsgiveninthisformaretrueandcorrect.
2.我保证除上海市外国留学生政府奖学金外未申请同一时间的其他中国政府奖学金;
IensurethatbesidestheSGS,IhavenotappliedforanyotherChinesegovernmentscholarshipswithintheperiodIstudyinShanghai.
Shanghai
3.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;
DuringmystayinChina,IshallabidebythelawsanddecreesoftheChinesegovernment,andwillnotparticipateinanyactivitieswhicharedeemedtobeadversetothesocialorderofChinaandareinappropriatetomycapacityasastudent.
4.我在享受奖学金期间不无故要求变更学校和所学专业;
DuringtheperiodofmygettingSGS,Ishallnotapplyforanychangesofinstitutionandspecialtyofstudywithoutvalidreasons.
5.在学期间,我将遵守学校的校纪、校规,全力投入学习和研究工作。
尊重学校的教学安排;
DuringmystudyinChina,Ishallabidebytherulesandregulationsofthehostuniversity,concentrateonmystudiesandresearches,andfollowtheteachingprogramsarrangedbytheuniversity.
6.我将按照规定参加上海市外国留学生政府奖学金年度评审;
IshallgothroughtheproceduresoftheannualassessmentofSGSstatusasrequired.
7.我将按规定期限修完学业,按期回国,不无故在华滞留;
IshallreturntomyhomecountryassoonasIcompletemyscheduledstudyprograminChina,andwillnotextendmystayinChinawithoutvalidreasons.
8.如违反上述保证而受到中国法律、法规或校纪、校规的惩处,我愿意接受上海市外国留学生政府奖学金管理委员会中止或取消奖学金及其它相应的处罚。
IfIamjudgedbytheChineselawsanddecreesandtherulesandregulationsoftheuniversityashavingviolatedanyoftheabove,IwillnotlodgeanyappealagainstthedecisionofSGSadministrationonsuspending,orwithdrawingmyscholarship,orothercorrespondingpenalties.
申请人签字/SignatureoftheApplicant:
日期/Date:
________________________________
(无此签名,申请无效/Theapplicationisinvalidwithouttheapplicant’ssignature)
所附材料情况
(请在所附附件前划‘X’标明)
MaterialsAttached(PleaseIndicatewith‘X’intheBracket.)
□本人护照复印件/ACopyofthePassport.
□两封推荐信/TwoLettersofRecommendation.
□本人最后学历成绩单复印件(须公证)/TranscriptofStudyRecordsoftheMostAdvancedStudies(NotarizedPhotocopy).
□本人最后学历证书复印件(须公证)/CertificateoftheMostAdvancedStudies(NotarizedPhotocopy).
本科/Bachelor’sDegree□硕士/Master’sDegree□博士/Doctor’sDegree□
其它/Others□
□来华学习计划/StudyPlaninChina.
□所发表的文章等/ArticlesorPapersPublished.
□美术作品(本人作品彩照六张)、音乐作品(本人音乐作品盒式录音带一盘)(只限申请美术和音乐专业的申请人)/ExamplesofArtworks(6colorpictures)orMusicWork(1audiotape)(OnlyfortheapplicantsapplyingforFineArtsandMusic).
□其它附件(请列出)/OtherAttachments(AListIsNeeded).