Zhejiang Normal University

ZHEJIANG NORMAL UNIVERSITY

Ѕ± С§ Ѕр Йк Зл ±н

Application Form for

Zhejiang Provincial Scholarship & Zhejiang Normal University Scholarship

l ЗлУГЦРОД»тУўОДМоРґґЛ±н/Please complete the form in Chinese or English.

l ЗлУГєЪЙ«»тА¶Й«З©ЧЦ±КМоРґґЛ±н/Please complete the form in marker pens.

1Ј®ЙкЗлИЛЗйїц/Personal Information

РХГы Name	РХГыЈЁТФ»¤ХХУГГыОЄЧјЈ© Passport Name	РХ/Family nameЈє	ХХ Ж Photo
Гы/Given nameЈє
РФ±р ЎхДР/Male Gender ЎхЕ®/Female	№ъј® Nationality	»¤ХХєЕВлPassport No.
ЙкЗлАа±рЈєЈЁЗлФЪПаУ¦µДО»ЦГґт№іЎМЈГїёцС§ЙъЅцДЬЙкЗлТ»ПоЎЈ Please write ЎМ in one of the following Ўх.Ј© 1. ХгЅ­КЎХюё®Ѕ±С§ЅрЈєZhejiang Provincial Scholarship Ўх A.СРѕїЙъЎўІ©КїЙъFor Postgraduate Students and Doctoral Students Ўх B. ±ѕїЖЙъFor Undergraduate Students Ўх C. ФЪРЈЅшРЮЙъFor Non-degree Students Studying in Zhejiang 2. ХгЅ­К¦·¶ґуС§Ѕ±С§ЅрЈєZhejiang Normal University Scholarship for Outstanding International Students 1.±ѕїЖЙъ/For Undergraduate Students: ЎхAАаCategory A ЎхBАаCategory B ЎхCАаCategory C 2.Л¶КїЙъ/For Postgraduate Students: ЎхAАаCategory A ЎхBАаCategory B ЎхCАаCategory C 3.І©КїЙъ/ For Doctoral Students: ЎхAАаCategory A
іцЙъИХЖЪ _________Дк______ФВ_______ИХ Date of Birth Yr. Mon. Date	іцЙъµШ __ №ъјТ __ іЗКР Place of Birth Country City
ЧоёЯС§Аъ/Highest Education	С§П°іЙјЁ/Academic Records ЈЁExample:4/5 or 85/100Ј©
ДїЗ°КЗ·сПнКЬЖдЛыЅ±С§Ѕр/Other scholarships you are under currentlyЈє ЎхКЗ/YES______________________ Ўх·с/NO
јТНҐЧЎЦ· /Permanent Home Address
µз»°/TELEPHONE	µзЧУУКјю/E-MAIL

2Ј®УпСФДЬБ¦/Language Proficiency

єєУп/ChineseЈє Ўх єЬєГ/Excellent Ўх єГ/Good Ўх ЅПєГ/Fair Ўх Іо/Poor Ўх І»»б/None

HSK їјКФµИј¶ЈЁИз№ыУРЗлМоРґЈ©/Level of HSK TestЈЁIf appropriateЈ©Јє

УўУп/EnglishЈє ЎхєЬєГ/Excellent Ўх єГ/Good Ўх ЅПєГ/Fair Ўх Іо/Poor Ўх І»»б/None

УўУпДЬБ¦їјКФіЙјЁLevel of English Proficiency TestЈЁIf appropriateЈ©Јє

3Ј®С§П°јЖ»®/Plan of Study

(1) ЙкЗлС§П°К±јд /Duration of StudyЈє ЧФ/From_______Дк/Year____ФВ/MonthЦБ/To______Дк/Year___ФВ/Month

(2)ЙкЗлАа±р/Program of Study: ЎхІ©Кї/ Doctorate ЎхЛ¶Кї/Master Ўх±ѕїЖ/Bachelor ЎхЅшРЮ/General Scholar

(3) ЙкЗлЧЁТµ/Intended Subject of StudyЈє

(4)КЪїОУпСФ/Language of Instruction: Ўх ЦРОД/Chinese ЎхУўУп/English

6Ј®ЙкЗлИЛ±ЈЦ¤/I hereby affirm that

ЈЁ1Ј©ЙПКцёчПоЦРЛщМṩµДЗйїцКЗХжКµОЮОуµД/All the information I provided above is true and correct;

ЈЁ2Ј©ФЪРЈС§П°ЖЪјдЧсКШЦР№ъХюё®µД·Ё№жєНѧУµД№жХВєНЦЖ¶И/I shall abide by the laws of the Chinese Government and the regulations of Zhejiang Normal University.

ИХЖЪ/Date ___ ЙкЗлИЛЗ©ЧЦ/ApplicantЎЇs signature_______________________

Дата добавления: 2015-08-27