浙江理工大学外国留学生奖学金申请表(新生)

(For Freshmen)

I.

申请人情况/Personal Information 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: 男/Male: □ 女/Female: □ 已婚/Married: □ 未婚/Single: □ 其他/Other: □ 母语/Native Language: 宗教/Religion: 当前联系地址/Present Address: 电话/Tel: 传真/Fax: ____________ E-mail:

永久通信地址/Permanent Address: II. 受教育情况/Education Background

在校时间 Years Attended (from/to) 毕业证书及学位证书 Certificates Obtained or To Obtain 照 片 Photo 学校Institutions 主修专业 Fields of Study

III. 工作经历/Employment Record

工作单位 Employer 起止时间 Time (from/to) 从事工作 Work Engaged 职务及职称 Posts Held IV. 语言能力/Language Proficiency a)汉语/Chinese:

很好/Excellent：□ 好/Good：□ 较好/Fair：□ 差/A Little: □ 不会/None: □ HSK 考试等级或其他类型汉语考试成绩/ Level of HSK test or other certificates which can show your Chinese level:__ ________ ____ b)英语/English:

很好/Excellent：□ 好/Good：□ 较好/Fair：□ 差/A Little: □ 不会/None: □ 我的英语水平可以用英语学习/I can be taught in English: 是/Yes □ 否/No □ 托福或雅思成绩 TOEFL □ IELTS □ Score: _____________________

c)其他语言/Other Languages:_________________水平/Proficiency：______ V. 学生类别/Student Category

本科生/Bachelor’s Degree Candidate: □ 汉语进修生/Chinese Language Student: □ 硕士研究生/Master’s Degree Candidate: □ 普通进修生/General Scholar: □ 博士研究生/Doctor’s Degree Candidate: □ 高级进修生/Senior Scholar: □ VI. 申请奖学金类别/Category of Scholarship Applied A类奖学金/Category A □ B类奖学金/Category B □

VII. 以往学习成绩/Please state your past academic achievements briefly

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VIII.

拟在我校学习或研究的详细内容（可另附纸）/Please Describe the Details of your Study or Research Plan in ZSTU (an extra paper can be attached if this space is not enough)

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申请人保证/I Hereby Affirm That:

1. 申请表中所填写的内容和提供的材料真实无误；

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

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.

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。尊重学校的教学安排；During

my study in China, I shall abide the rules and regulations of Zhejiang Sci-Tech University, and concentrate on my studies and researches, and follow the teaching programs arranged by the university.

4. 如违反上述保证而受到中国法律或校纪、校规的惩处，我愿意接受浙江理工大学终止或取

消奖学金即其他相应的处罚。

If I am judged by the Chinese laws and decrees and the rules and regulations of ZSTU as having violated any of the above, I will not lodge any appeal against the decision of ZSTU 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)