延边大学吉林省政府来华留学生部分奖学金申请表请申请人认真阅读本表最后填表说明。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。不按规定填写的表格将视作无效。1.申请人情况：护照用名：姓：________________________________________________名：________________________________________________国籍：_______________________护照号码：_______________________照片出生日期：________年________月________日出生时国籍：___________________城市：______________________性别：_______________________婚姻状况：________________________母语：_______________________宗教：____________________________当前联系地址：_________________________________________________________________________________________________________________________________________________________________________电话：______________________传真：_______________________E-mail:________________________永久通信地址：_________________________________________________________________________________________________________________________________________________________________________2.在华情况：来华时间：______________年______________月______________日曾入院校：__________________________________________________________________________________现在院校：__________________________________________________________________________________入校时间：______________年______________月______________日（预计）毕业时间：______________年______________月______________日将获得的学位证书：学士□硕士□毕业论文题目（如有）：_______________________________________________________________________3.拟学习计划：时间：自_______年________月_______日至_______年________月_______日拟攻读学位：硕士□学习院校：__________________________________________________________________________________申请专业：__________________________________________________________________________________4.曾发表的主要学术著作、论文及作品（请写明发表在哪类刊物上）：_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________5.目前经费资助情况：中国政府奖学金：全额奖学金：□部分奖学金：学费□住宿费□医疗费□教材费□其他途径获得的奖学金：□请注明奖学金资助机构名称：________________________________________自费：□6.申请人亲属情况:姓名年龄职业住址及联系电话配偶:___________________________________________________________________________父亲:___________________________________________________________________________母亲:___________________________________________________________________________7.紧急情况联系人:姓名联系电话住址与本人关系____________________________________________________________________________________8.在华联系人:姓名联系电话住址与本人关系____________________________________________________________________________________9.推荐学校及联系方式名称:_______________________________电话/Tel:____________________传真/Fax:__________________地址:_______________________________________________________________________________________10.申请人须附以下材料：□所在院校推荐信（加盖部门公章）。□本人在校成绩单原件（加盖教务处章）。□本人最后学历证书复印件：高中□本科□硕士□□如有所发表的文章或所获奖项。□如有其它附件（请列出）。___________________________________...
