華東師范大學(xué)博士后國際交流計(jì)劃引進(jìn)項(xiàng)目申請表East China Normal University Postdoctor Admission Application Form for Applicants Abroad申請一級學(xué)科名稱：二級學(xué)科名稱：Discipline: Specialty：一、申請人簡況 Applicants Information Name on ID證件姓名Highest Degree最后學(xué)位Sex性別Upload passport-sized ID photo showing your full face and ears 上傳兩寸正面免冠照片Date of Birth出生日期 月日 年mm/dd/yyyyNationality/Region國籍/地區(qū)Marital Status婚姻狀況Chinese Level漢語水平Place of Birth出生地 City 城市 State or Province 省 Country 國家 ID No. 證件號Expiration Date證件有效期 月 日 年mm/dd/yyyyPlace of Issue簽發(fā)地Telephone聯(lián)系電話E-mail Address電子郵件Permanent Addressat Home Country所在國家的永久地址Apartment number 房間號 Street 街道 City 城市 State or province省 Country國家 Postal code郵編Doctoral Thesis Title博士論文題目Educational Background from college (most recent first and dates must be included)教育經(jīng)歷(從大學(xué)填起)Institution學(xué)校From (dd/mm/yyyy) To (dd/mm/yyyy)日期Degree & Certificate學(xué)位Area of Study專業(yè)Employment Experience (most recent first and dates must be included)工作經(jīng)歷Employer工作單位From (dd/mm/yyyy) To (dd/mm/yyyy)日期Position職位Place地點(diǎn)二、申請人主要學(xué)術(shù)成果 Applicants Major Academic Achievement2.1 Your representative papers published in journals or conference (including ones accepted for publishing)2.1申請人在學(xué)術(shù)刊物或會議發(fā)表的代表性論文（含已被錄用待發(fā)表）Title，Name of journal or conference，years, volume, period, all the author names (name of the applicant in bold, corresponding author name with * marks)論文題目，期刊名稱，年，卷，期，所有作者姓名（申請人名字加粗，通訊作者名字上用“*”標(biāo)示）Issued time發(fā)表時(shí)間SCI/EI/SSCI/AHCI錄用情況IF影響因子Cited他引次數(shù)Book: Title, all the author names, publisher,( Name of the applicant in bold)著作：書名，所有作者姓名，出版社（申請人名字加粗）Dates出版時(shí)間Words completed個(gè)人字?jǐn)?shù)Total Words 總字?jǐn)?shù)2.2 Your Research Projects2.2申請人讀博士以來承擔(dān)的主要科研項(xiàng)目Project Title項(xiàng)目名稱Please list the title, funding bodies, total grant and funding period for all projects for which you are either Principal Investigator or the first Co-Investigator.請羅列你作為主持人或首席輔助主持人項(xiàng)目的名稱、資助機(jī)構(gòu)、經(jīng)費(fèi)總額及資助年限2.3 Your Awards & Academic Honors2.3申請人讀博士以來獲獎(jiǎng)情況Title獲獎(jiǎng)項(xiàng)目名稱Type獎(jiǎng)勵(lì)名稱funding bodies授獎(jiǎng)單位Dates獲獎(jiǎng)年月Rank本人排序2.4 YourPatents2.4申請人讀博士以來獲得專利情況Patents Title專利名稱Country專利授權(quán)國NO.專利號Dates授權(quán)年月Rank本人排序三、申請人承諾 Applicants StatementI declare that information supplied in this Application is correct and complete. (我聲明所填申請信息是正確和完全的。)I recognize it is my responsibility to provide all necessary documentary evidence of my qualifications, education background and employment experience and hereby authorize ECNU to obtain further information where necessary.(我有責(zé)任提供證明我的資歷、教育背景和任職經(jīng)歷的所需文件并授權(quán)華東師范大學(xué)在需要時(shí)獲取更多材料。)ECNU reserves the right to withdraw any offer to me or cease my placement at any stage during my application where false or misleading information has been provided.(若在申請過程中發(fā)現(xiàn)提供虛假和錯(cuò)誤信息，華東師范大學(xué)有權(quán)取消對我的申請受理。)Signature of Applicant Date （dd/mm/year）（The following is not required by