广西政府东盟国家留学生奖学金申请表

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1、附件3广西政府东盟国家留学生奖学金申请表（全额奖学金）GUANGXIGOVERNMENTFULLSCHOLARSHIPAPPLICATIONFORMFORASEANSTUDENTS照片Photo请申请人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。请在所选项框内划‘X’表示。不按规定填写的表格将视作无效。PleasecompletetheforminChineseorEnglish.Ｆｉｌｌ　ｉｎ　　the　formwithcomputer,orwritelegiblyinblack

2、orblueink.Pleaseindicatewith‘X’intheblankchosen.Anyformsthatdonotfollowthenoteswillbeinvalid.1.申请人情况/PersonalInformation:护照用名/PassportName:__________________________姓/FamilyName:_________________________________名/GivenName:________________________________国籍

3、/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:___________________男/Male：□女/Female：□已婚/Married：□未婚/Single：□其它/Othe

4、r：□母语/NativeLanguage:____________________宗教/Religion:_____________________当前联系地址/PresentAddress:_______________________________________________________________________________电话/Tel:______________________________传真/Fax:____________________________E-mail:___

5、___________________________________永久地址/PermanentAddress:_______________________________________________________________________________2.受教育情况/EducationBackground:学校/Institutions______________________________________________________________________________

6、_在校时间/YearsAttended(from—to)_______________________________________________________________________________主修专业/MajorofStudy_______________________________________________________________________________毕业证书及学位证书/DiplomaorDegreeObtainedorToObtain___________

7、___________________________________________________________________________________________________________________________________________3.工作经历/EmploymentRecord:4工作单位/Employer_______________________________________________________________________________起

8、止时间/Time(from—to)_______________________________________________________________________________从事工作/WorkEngaged_______________________________________________________________________________职务及职称/Post