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 外国留学生奖学金申请表
APPLICATION FORM FOR HEU SCHOLARSHIP

本页由奖学金申请人本人逐项认真填写/The applicant will carefully fill in the following parts.
请申请人认真阅读注意事项后再填写下列各项/Please read CAREFULLY the IMPORTANT NOTE before filling out the form.

姓名(同护照用名)/Name(Same as in Passport):
姓/Family Name:                    名/Given Name:                   Middle Name:      
性别/Sex:________  出生日期/Date of Birth: ________年/Year  _______月/Month  _____ 日/Day
出生国(地区)/Country(Region) of Birth:                                                  
国籍/Nationality:                               护照 / Passport Number:                 
学生类别/Student Category (Please Check):   
本科生/Undergraduates □      硕士研究生/Master □        博士研究生/Doctorate □    
培养单位/Institute:                                                                    
学习专业/Research Field:                                                               
本人申请的奖学金为/The scholarship I wish to apply for (Please Check):
全额奖学金/Full Scholarship □   
一等奖学金/First prize Scholarship □
二等奖学金/Second prize Scholarship □
期限为/From ______ 年/Year        月/Month      至/to ______ 年/Year         月/Month

本人签字/Signature: _______________  日期/Date: _______年/Year ______月/Month _____日/Day

注意事项:/Important Note:
1. 请申请人用中文或英文填写,其他文字或缺项的申请表无效;需在本表相应框内做出选择的地方,请用符号“P”表示。/ This form is to be completed by the applicant in Chinese or English only.  Any incomplete application or application completed in languages other than Chinese or English will be invalid; Please use “P” to check the box in the relevant items to indicate your selection.
2.全额奖学金:/Full Scholarship: 学费/Tuition; 住宿费/Housing; 生活费补贴/Living stipend.
3.一等奖学金:/First prize Scholarship: 免全部学费/Free tuition
二等奖学金:/Second prize Scholarship: 免50%学费/50% deduction from tuition fees

 

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