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APPLICATION FORM FOR CONFUCIUS INSTITUTE SCHOLARSHIP





 

                 

APPLICATION FORM FOR CONFUCIUS INSTITUTE SCHOLARSHIP

 

請申請人認真閱讀本表第三頁的填表說明,用中文或英文填寫此表格。請用電腦打印或用藍色或黑色鋼筆認真書寫表格內容。請在所選項框內劃X表示。不按規定填寫的表格將視作無效。

Please read the important notes on the last page carefully before filling out the form. Please complete the form in Chinese or English. If the form is not filled in on the computer, please write legibly in black or blue ink. Please indicate with Xin the blank chosen. Any forms that do not follow the notes will be invalid.

 

 

照片

photograph

 

 

 

1. 申請人情況/Personal information

  護照用名/Name in passport

      /Family name: _________________________________BLOCK LETTERS

      /Given name: __________________________________BLOCK LETTERS

  國籍/Nationality________________ 護照號碼/Passport No.________________

  出生日期/Date of birth____________/Year________/Month_______/Day

  出生地點/Place of birth:國家/Country____________城市/City___________

  /Male /Female  已婚/Married 未婚/Single 其它/Other

  最后學歷/Education level_____________母語/Native language_______________宗教/Religion___________________

目前所在學?;驒C構/Place of study or work_______________________________________________________________

  當前聯系地址/Current address___________________________________________________________________________

  電話/Tel __________________________________ 傳真/Fax________________________________________________

E-mail                                              手機/Mobile:                                     

永久通信地址/Present Address__________________________________________________________________________

 ______________________________________________________________________________________________________

 

2. 受教育情況/Education background

           學校                           在校期間              主修專業               所獲證書

         Institutions                        From / to            Fields of study        Diploma/degree obtained

   ______________________________     ___________________    ____________________  ____________________

   ______________________________     ___________________    ____________________  ____________________

   ______________________________     ___________________    ____________________  ____________________

 3. 是否曾在華學習或任職/Have you ever studied or worked in China?  /Yes    /No

如選是/If you Choose Yes, please fill in the following. If more, please attach.

/From________/Year_________/Month   /To________/Year_________/Month

   學習或任職單位/ Institution or Employer: _____________________________________________________________

   在華學習的經費來源/Financial Support_____________________________________________________________

自費/Own Expense   中國政府獎學金/Chinese Government Scholarship     其他/ Other Source of Funding

 

4.     語言能力/Language Proficiency:

漢語/Chinese:                    很好/Excellent            /Good          較好/Fair          /Poor          不會/None

 HSK    考試等級或其他類型漢語考試成績/ Level of HSK test or other certificates which can show your    

Chinese level:______________________________________________________________________________

英語/English:                    很好/Excellent             /Good          較好/Fair           /Poor          不會/None

我的英語水平可以用英語學習/I can be taught in English:   /Yes                                /No 

其他語言/Other Languages:__________________________________________________________________________

 

5. 來華學習計劃/Proposed Study in China:

   是否選擇教師教育或培訓/ Do you want to apply for the teacher education/training program? /Yes   /No

   申請學習時間/Duration of Study: /From: /year        /month          /to: /year        /month     

漢語進修生/Chinese Language Student:: 四周/four weeks □   一學期/one semester □  一學年/one academic year □

本科生/Bachelor’s Degree Candidate

碩士研究生/Master’s Degree Candidate

博士研究生/Doctor’s Degree Candidate

 

6.申請院校/ Institutions of Preference in China

Enter your choices of up to 3 in order of preference. Please state whether you can accept other choices or not.

A ___________________________________________________________________________________________

B___________________________________________________________________________________________

C___________________________________________________________________________________________

是否服從調劑/Can you accept the institutions suggested by the Confucius Institute Headquarters? /Yes /No

 

7. 在華事務聯系人或機構/Guarantor in charge of your case in China:

   名稱/Name: _____________________        電話/Tel: _________________________________________

   傳真/Fax______________________         E-mail: __________________________________________

地址/Address: _____________________________________________________________________________

_________________________________________________________________________________________

 

8. 推薦人/ Referee

推薦人姓名/Name of Referee: _______________________電話/Tel:________________________________

與申請人關系/ Relationship with Applicant _________________________________________________

推薦意見請另附紙/RecommendationsPlease Attach


申請人保證/ I Hereby Affirm That

l   本表所填寫的內容和提供的材料真實無誤;All information and materials given in this form are true and accurate.

l   在華期間,遵守中國法律、法規,不從事任何危害社會秩序的、與本人來華學習身份不相符合的活動;During my stay in China, I shall abide by the laws and decrees of China, and will not participate in any activities which are deemed to be adverse to the social order and are inappropriate to my capacity as a student.

l   按規定期限離華,不無故在華滯留;I shall return to my home country as soon as I complete my scheduled program in China, and will not extend my stay without valid reasons.

l   到華前,我同意自行購買海外保險。在華期間,獎學金之外所產生費用與孔子學院總部及在華就讀院校無關; I agree to buy Overseas Insurance before entering China. During my stay in China, except the scholarship, all other expenses and losses will not be related to the Confucius Institute Headquarters and the University which accepted my studying application in China.

l   如違反上述保證而受到中國法律、法規或校紀、校規的懲處,我愿意接受孔子學院總部的中止或取消獎學金及其他相應處罰。If I am judged by the Chinese laws as having violated any of the above, I will not lodge any appeal against the decision of Confucius Institute Headquarters on suspending, or withdrawing my scholarship, or any other penalties.

 

 

申請人簽字/Signature of the Applicant____________________________________ 日期/Date________________

 

派遣單位名稱/Recommending Institute__________________________________________________BLOCK LETTERS

 

電話/Tel:__________________________________傳真/Fax: ______________________________________________

 

派遣單位負責人簽字/Signature of the Referee_____________________________________日期/Date________________

 

 

填表說明(每一項數字與申請表中每一項序號相對應):

GUIDELINES FOR FILLING IN THIS FORM (NUMBERS REFERRING TO THE VARIOUS BLOCKS):

 

1. 本項所有內容申請人必須如實填寫。 Personal information about the applicant must be filled in truthfully and accurately.

 

2. 請列出申請人已經完成或即將完成的各級教育,包括中學、職業教育及高等教育各項。請隨材料附上經公證的最高級教育的學歷證明、畢業證書或學位證書的原件復印件和英文翻譯件(均一式兩份)。

Please provide the following information for all completed secondary, vocational, technical, undergraduate, post graduate training and any other qualifications. One notarized copy of your official transcripts, certificates and notarized copies of your highest education, including their English translations must be included with each application.

 

3. 請列出申請人曾經從事和現在從事的工作。 Please list your work experiences and you current post.

 

4. 本項將表明申請人的語言情況,對申請人來華后的課程安排及授課語言非常重要。請隨材料附上有關證明材料。

Please state your knowledge of languages, especially Chinese and English. If you have passed a language test, please include a copy of the results in your application materials.

 

5. 請申請人按本項提示選擇來華后的學習計劃,孔子學院總部有權作相應調整。

The applicant will choose the details concerning his study in China according to the clues given in this form. However   Confucius Institute Headquarters is entitled to make any necessary adjustments according to the applicant’s preferences.

 

6.請選擇三所接受孔子學院獎學金留學生的學校并填寫在本欄中,你的選擇僅作為安排學校時的參考。如果你已經被某所中國學校錄取,請附上該校的《錄取通知書》或接受函的復印件。

Please choose three Chinese institutions of preference which can accept the Confucius Institute Scholarship students and list them in the blanks here. The final institution arranged is subject to the adjustment of the Confucius Institute Headquarters with your choices as references. If you have been accepted by a Chinese university, please attach a copy of their admission notice along with your application materials.

 

7. 在華聯系人或聯系機構,關于申請人在華的有關事務,我們將與其聯系。

With regards to the guarantors in charge of your case in China, we will contacot them on your case whenever necessary.

 

8. 你的推薦人和推薦機構。The person or organization that recommended you for this scholarship.

友情鏈接

[中華人民共和國外交部] [中華人民共和國國家外國專家局] [國家留學網]
[中華人民共和國教育部涉外監管信息網] [國家漢辦] [國家教育部] [云南省人民政府外事辦公室] [云南省教育廳對外交流與合作處] [昆明市公安局出入境管理局]
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