郑州大学校长奖学金申请表 1

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1、郑州大学校长奖学金申请表APPLICATIONFORMFORZHENGZHOUUNIVERSITYPRESIDENTIALSCHOLARSHIP请申请人认真阅读本表第四页的填表说明。请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。Pleasereadcarefullytheimportantnotesonthelastpagebeforefillingouttheform.PleasecompletetheforminChinese

2、orEnglish.IftheformisnotfilledinonPC,pleasewritelegiblyinblackorblueink.Pleaseindicatewith‘X’intheblankchosen.Anyformsthatdonotfollowthenoteswillbeinvalid.照片Photo1.申请人情况/PersonalInformation:护照用名/PassportName:姓/FamilyName:_______________________________________

3、____________名/GivenName:____________________________________________________国籍/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:____________

4、_男/Male：□女/Female：□已婚/Married：□未婚/Single：□其它/Other：□母语/NativeLanguage:_______________________宗教/Religion:______________________________________当前联系地址/PresentAddress:____________________________________________电话/Tel:_________________传真/Fax:_______________E-mai

5、l:____________________永久通信地址/PermanentAddress:___________________________________________2.受教育情况/EducationBackground:-4-学校Institutions在校时间YearsAttended(from/to)主修专业FieldsofStudy毕业证书及学位证书CertificatesObtainedorToObtain-4-_________________________________________

6、________________________________________________________________________________________________________________________________________________________________________________________________________________3.工作经历/EmploymentRecord:-4-工作单位Employer起止时间Time(from

7、/to)从事工作WorkEngaged职务及职称PostsHeld-4-________________________________________________________________________________________________________________________________________________________________________________________________________________________________

8、_________________________4.语言能力/LanguageProficiency:a).汉语/Chinese:很好/Excellent：□好/Good：□较好/Fair：□差/Poor：□不会/None：□HSK考试等级或其他类型汉语考试成绩/LevelofHSKtestorothercertificateswhichcanshowyo