孔子学院奖学金申请表

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1、奖学金类别：国家汉办/孔子学院总部HanBan/ConfuciusInstituteHeadquartersNo.129,DeshengmenwaiStreet,XichengDistrictBeijingP.R.China,100088Website：http://www.chinese.cn/scholarships以上仅供孔子学院总部填写TheboxaboveisforConfuciusInstituteHeadquarters孔子学院奖学金申请表（汉语国际教育硕士专业学位项目）APPLICATIONFORMFORCONFUCIUSINSTITUTESCHOLARSHIP(MTCSOL

2、’SPROGRAM)请申请人认真阅读本表第三页的填表说明，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。Pleasereadtheimportantnotesonthelastpagecarefullybeforefillingouttheform.PleasecompletetheforminChineseorEnglish.Iftheformisnotfilledinonthecomputer,pleasewritelegiblyinblackorblueink.Pleaseindicatewith‘X’

3、intheblankchosen.Anyformsthatdonotfollowthenoteswillbeinvalid.照片photograph1.申请人情况/Personalinformation：护照用名/Nameinpassport：姓/Familyname:_________________________________（BLOCKLETTERS）名/Givenname:__________________________________（BLOCKLETTERS）国籍/Nationality：________________护照号码/PassportNo.：_________

4、_______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/Other□最后学历/Educationlevel：_____________母语/Nativelanguage：_______________宗教/Religion：___________________目前所在学校或机构/Placeofstudyorwor

5、k：_______________________________________________________________当前联系地址/Currentaddress：___________________________________________________________________________电话/Tel：__________________________________传真/Fax：________________________________________________E-mail：手机/Mobile:永久通信地址/PresentAddress：__

6、______________________________________________________________________________________________________________________________________________________________________________2.受教育情况/Educationbackground：学校在校期间主修专业所获证书InstitutionsFrom/toFieldsofstudyDiploma/degreeobtained_____________________________

7、______________________________________________________________________________________________________________________________________________________________________________________________________________