CSC No - Beijing Normal University



|申请编号 Application No. : |

|申请项目 Bachelor/Master/Doctor: |

|申请专业 Applied Major: |

北京师范大学外国留学生奖学金申请表

BNU SCHOLARSHIP APPLICATION FORM FOR INTERNATIONAL STUDENTS

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(表示。不按规定填写的表格将视作无效。

Please complete the form in Chinese or English. If the form is not filled in on PC, please write legibly in black or blue ink. Please indicate with “(”to choose. Any forms that do not follow the notes will be invalid.

奖学金类别/Scholarships type：

□北京市外国留学生奖学金 Beijing Government Scholarship for International Students

□北京师范大学留学生新生奖学金 Beijing Normal University New International Student Scholarship

□北京师范大学“丝路木铎”学历生奖学金 Beijing Normal University "Silk Road Muduo" Scholarship

1) 申请人情况/Personal Information

1. 中文姓名/Chinese Name：

护照用名/Passport Name

姓/Family Name： ______________________

名/Given Name： _______________________

国籍/Nationality：______________ 护照号码/Passport No.：_____________

出生日期/Date of Birth：_______年/Year_______月/Month_______日/Day

出生地点/Place of Birth：____________

国家/Country：____________ 城市/City：____________

性别/Gender：________________婚姻状况/Marital Status：________________

母语/Native Language：__________________宗教/Religion：

当前联系地址/Present Address：

电话/Tel：______________________传真/Fax：___________________E-mail：

2) 教育背景/Education Background (研究生填写/For Postgraduate Students)

最高学历获得（将要获得）院校/Institution Where the Highest Academic Degree was Obtained or to Obtain：______________________________________________________________

获得（将要获得）的学位证书/Certificates Obtained or to Obtain：

□学士/Bachelor □硕士/Master □博士/Doctor’s Degree

在校期间平均分或绩点/Average score or GPA：_______________________

毕业论文题目/Dissertation Title：______________________________________________________________

3) 现在学习或工作单位/Present Institution or Employer

机构（学校）名称/Name 身份/Position 起始时间/Time (from & to)

4) 拟继续学习计划/Proposed Study in China (研究生填写/For Postgraduate Students)

拟继续攻读的学位/Academic Degree to Obtain：

□硕士/Master’s Degree □博士/Doctor’s Degree

学习系所/Preference of Department：__________________________________________________________

所学专业/Subject or Field of Study：____________________________________________________________

导师姓名（博士填写）/Supervisor (For Doctoral Students)：__________________________ _____________

5) 发表的主要学术著作、论文及作品（请写明发表在何类刊物上）

Academic Papers, Writing & Art Works Published (Please specify the publication)：

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

6) 主要获奖经历/Received Awards and Honors：

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

1. 申请人保证/I Hereby Affirm That：

2. 1. 申请表中所填写的内容和提供的材料真实无误；

3. All information and materials given in this form are true and correct.

4. 2. 在华期间，遵守中国的法律、法规，不从事任何危害中国社会秩序的、与本人来华学习身份不符合的活动；

During my stay in China, I shall abide by the laws and decrees of the Chinese government, and will not participate in any activities in China which are deemed to be adverse to the social order of China and are inappropriate to the capacity as a student.

5. 3. 在学期间，遵守学校的校纪、校规，全力投入学习和研究工作，遵循学校的教学安排；

During my stay in China, I shall abide by the rules and regulations of the host university, and concentrate on my studies and researches, and follow the teaching programs arranged by the university.

6. 4. 按照规定参加北京师范大学外国留学生奖学金年度评审；

I shall go through the procedures of the Annual Review of Scholarship for International Students Status as required.

7. 5. 如违反上述保证而受到中国法律、法规或校纪、校规的惩处，我愿意接受北京师范大学中止或取消奖学金及其它相应的处罚。

If I am judged by the Chinese laws and decrees and the rules and regulations of the university as having violated any of the above, I will not lodge any appeal against the decision of Beijing Normal University on Suspending, or withdrawing my scholarship, or other penalties.

申请人签字/Signature of the Applicant：______________________日期/Date：_______________

（无此签名，申请无效/The application is invalid without the applicant’s signature）

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