—PAGE2——PAGE1—**省政府國際學(xué)生獎學(xué)金申請表APPLICATIONFORMFOR***GOVERNMENTSCHLARSHIP(HGS)照片照片Photo護(hù)照用名/NameasinPassport:姓/FamilyName:____________________________________名/GivenName:_____________________________________國籍/Nationality:___________護(hù)照號碼/PassportNo.:____________出生日期/DateofBirth:年/Year_______月/Month_______日/Day_______出生地點(diǎn)/PlaceofBirth:國家/Country:_____________城市/City:_____________性別/Sex:男/Male□女/Female□婚姻狀況/MaritalStatus:已婚/Married□未婚/Single□喪偶/widowed□離異Divorced□母語/NativeLanguage:_____宗教/Religion:______________________當(dāng)前聯(lián)系地址/PresentAddress:_______________________________________電話/Tel:_______傳真/Fax:____________E-mail:________________________永久通信地址/PermanentAddress:____________________________________受教育情況/EducationBackground:學(xué)校Institutions在校時間YearsAttended(from/to)主修專業(yè)FieldsofStudy畢業(yè)證書及學(xué)位證書CertificatesObtained工作經(jīng)歷/EmploymentRecord:工作單位Employer起止時間Time(from/to)從事工作WorkEngaged職務(wù)及職稱Post/AcademicStatus語言水平/LanguageProficiency:a)漢語/Chinese:很好/Excellent：□好/Good□一般/Fair□差/Poor□不會/Don’tKnow□HSK考試等級或其他漢語水平證書/LevelofHSKorothercertificateswhichcanshowyourChineselevel:________________________________________b)英語/English:很好/Excellent：□好/Good：□/Fair：□差/Poor：□不會/None：□我可以用英語學(xué)習(xí)專業(yè)課程/IcanlearnthespecialprogramsinEnglish:是/Yes□否/No□c)其他語言/OtherLanguages:________________水平/Proficiency來華學(xué)習(xí)計劃/StudyProposedinChina:a) 本科（學(xué)士）/Undergraduate(Bachelor’sDegree)Program □碩士學(xué)位/Master’sDegreeProgram □博士學(xué)位/Doctor’sDegreeProgram □b)學(xué)習(xí)專業(yè)/MajorofProgram:c)學(xué)習(xí)時間/DurationoftheProgram:自/From：______年/Year___月/Month至/To：______年/Year__月/Month擬在華學(xué)習(xí)或研究的詳細(xì)內(nèi)容（可另附紙）PleasedescribethedetailsofyourstudyorresearchplaninChina(anextrapapercanbeattachedifthisspaceisnotenough):________________________________________________________________________________________________________________________________________________________________________________________________________________________________曾發(fā)表的主要學(xué)術(shù)論文、著作及作品/AcademicPapers,Works&ArtworksPublished:________________________________________________________________________________________________________________________________________________________________________在華負(fù)責(zé)你申請事務(wù)的聯(lián)系人/ThePersoninChinainChargeofYourApplicationAffairs:姓名/Name:_________電話/Tel:________傳真/Fax:_________________地址/Address:____________________________________________申請人是否曾在華學(xué)習(xí)或任職/HaveyoueverstudiedorworkedinChina?是/Yes:□學(xué)習(xí)或任職單位/InstitutionorEmployer:______________________在華時間/TimeinChina:自/From:_____年/Year月/Month至/To:_____年/Year____月/Month否/No:□申請人親屬情況/FamilyMembersoftheApplicants:姓名年齡職業(yè)NameAgeOccupation配偶/Spouse:______________