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1、姓名:_____________________利众基金会【2009年度】高等教育奖学金申请表TraceFoundationTibetanMediumHigherEducationScholarships申请奖学金类别（只可选一种，请参考《奖学金简介》一文）：考研强化培训奖q优秀研究生奖q优秀专业人才国内奖q(身份证)姓名别名性别民族出生年月日出生地身份证号码工作单位（在职者）工作年限职务申请赞助攻读校系专业学位入学年月方向是否公费藏语、藏文水平(请打勾选择)听说读写优良一般不会优良一般不会优良一般不会优良一般不会在校期间详细联系方式(Contac
2、tInfoatSchool)详细通信地址（包括姓名及邮编）_______________________________________________________________________________________________________________________________________________________________________________________________________________邮编：___________________宿舍电话_______________
3、___________________移动电话__________________________________传真号码__________________________________电子邮件__________________________________家庭详细联系方式(PermanentContactInfo)详细通信地址（包括姓名及邮编）___________________________________________________________________________________________________
4、________________________________________________座机电话__________________(若无请提供邻居或其他联络人电话)移动电话__________________(若无请提供邻居或其他联络人电话)以下仅供基金会工作人员填写（ForOfficeUseOnly）officiallyestablishedonJuly1,2013,Yibincity,formerlyknownasthebus,integratedoriginalrongzhoubuscompanyinYibincityandMetr
5、obuscompany,formedonlyinYibincityofaState-ownedpublictransportenterprises,thecompanyconsistsofoneortwo,thirdDivision.IntegrationofpublictransportservicesisnotyetestablishedTraceFoundationTMHESApplication#______________Page9of9姓名:_____________________第一栏：学习目的及事业目标（StatementofPu
6、rpose）请在此处用藏文手写正楷体体写入；中文版的另行加页提交。若空间不够请自行加页。请参照《利众基金会高等教育奖学金申请注意事项》中有关说明撰写。officiallyestablishedonJuly1,2013,Yibincity,formerlyknownasthebus,integratedoriginalrongzhoubuscompanyinYibincityandMetrobuscompany,formedonlyinYibincityofaState-ownedpublictransportenterprises,thecompa
7、nyconsistsofoneortwo,thirdDivision.IntegrationofpublictransportservicesisnotyetestablishedTraceFoundationTMHESApplication#______________Page9of9姓名:_____________________学习目的及事业目标（续页1）officiallyestablishedonJuly1,2013,Yibincity,formerlyknownasthebus,integratedoriginalrongzhoubus
8、companyinYibincityandMetrobuscompany,formedonlyinYibincityofa
