基础研究人才支持计划申报表



Application for Tsinghua University Postdoctoral Support Program

|Applicant | |

|Graduate university for | |

|doctor's degree | |

|Subject/Major | |

|Department applied in THU | |

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|Supervisor applied | |

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Tabulated by Postdoctoral Management Office, Tsinghua University

Date:

( PART Ⅰ)

A. Personal information

|1. Basic information |

|Name | |Gender | |Date of birth (yy/mm/dd)| |

|ID number/ Passport No. | |Marital status | |Estimated Date of | |

| | | | |enrollment | |

|E-mail | |Country where Ph.D | |

| | |obtained | |

|Graduate university for | |Date of graduation | |

|doctor's degree | | | |

|Subject/Major | |Ph.D Advisor | |

|The World University Rankings |The Times Higher Education( ) |

| |QS( ) |

| |U.S.NEWS( ) |

|University Rankings by subject |The Times Higher Education( ),subject: |

| |QS( ),subject: |

| |U.S.NEWS( ),subject: |

|2. Your educational background and research experience |

|(Educational background starts from B.S. The research experience includes both universities and research institutes. All experience should be |

|listed starting from the current situation. If there is discontinuous experience, please explain in detail) |

|Educational |Duration(yy/mm to yy/mm) |Institution |Nationality |Major |Degree obtained |

|background | | | | | |

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|Research experience|Duration(yy/mm to yy/mm) |Institution |Nationality |Research contents |Position |

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B. Academic and scientific achievements

|1. Doctoral dissertation |

|Catalogue (expected)| |

|Abstract of |( less than 500 words) |

|dissertation | |

|2. Research achievements and awards |

|Brief introduction of major|( less than 200 words) |

|academic achievements | |

|International and domestic |The total number of papers published or accepted: SCI , EI , SSCI , CSSCI . List your representative papers |

|core journal articles |(three papers, your name in bold, the names of students who you supervised should be labeled with“@”,unpublished |

| |yet accepted papers should be noted.) |

| |Title |

| |Name of project |The institution which |Project funds |Your responsibility in|Authorized time |

| | |issues the project | |the project | |

| | | | | | |

| | | | | | |

|Monograph |Publication time |Title |Publishing company |Author ranking |

| | | | | |

|Patent |The total number of patents you acquired is , List the representative patents: |

| |Whether authorized |Name of patents |Type of patents |Approved agency |

| | | | | |

|Academic part-time job |Name(Journal/Institution) |Duration(yy/mm to yy/mm) |Position |

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C. Postdoctoral research plan

|1. Title of the | |

|postdoctoral research | |

|plan | |

|2.Key words |(less than 5) |

|3. Brief introduction |( less than1000 words) |

|of your research plan | |

|4.Research Foundation |( less than200 words) |

|5. The potential |( less than200 words) |

|contribution of the | |

|proposed research in | |

|this field | |

Your signature:

( PART Ⅱ)

D. 合作导师意见(申请人研究特色、潜力、支持条件)

Comments by collaborating supervisor in THU

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|签字: |

E. 流动站单位意见(申请人在该领域博士毕业生中所处的位置)

Comments by applied department in THU

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|单位负责人签字: |

|单位盖章: |

|年 月 日 |

F. 博士导师推荐信(直接发单位邮箱)

Letter of recommendations(Ph. D tutor)

G. 评审结果及学校意见

Final Decision

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|负责人签字: |

|盖章: |

|年 月 日 |

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