邢唷> 欹` 餜Nbjbj鎳鎳撞勴勴A)(eFFFFD,t菮菮菮€HAL擜 a&珺珺(訠訠訠疍疍疍賍踎踎踎踎踎踎$4bh渄b_碔oD@疍碔碔_FF訠訠萡萙萙萙碔H FR訠訠賍萙碔賍萙萙乗h" ]訠燘 郮y夌X菮黃€閈E]轥0a鵟|Y ] ]<疍=F萙YG=Hw疍疍疍__^Zj疍疍疍a碔碔碔碔$%;;(FFFFFF  Nwm^Y齎Yuf[u?e淾VYf[褢3u鲖hA{| APPLICATION FORMFOR SHANGHAI GOVERNMENT SCHOLARSHIP (SGS) Class A 3u鲖1\麐f[!h Institution to Apply for3u鲖篘覻 T Name of ApplicantkXh堝eg Datet^ g 錯 Year Month Date  Nwm^Ye瞼訷XTO 6R Designed by Shanghai Municipal Education Commission  顅 U_ N0,g3u鲖h坘X橯魦f& & & & & & & & & & & & & & & & & & & & & & & & & & 3 Guidelines for Filling in This Application Form 孨0 Nwm^Y齎Yuf[u?e淾VYf[褢3u鲖h& & & & & & & & & & & & & & & & & & 5 Application Form N03u鲖篘軴翄fN& & & & & & & & & & & & & & & & & & & & & & & & & & & & 8 Letter of Guarantee 踁0@bD朠g檈臽礠& & & & & & & & & & & & & & & & & & & & & & & & & & & .....9 Materials Attached 3u鲖h坘X橯魦ffN 廭鱏N3u鲖h-N蟢Ny槒^鱏鴙鵞擽 GUIDELINES FOR FILLING IN THE APPLICATION FORM (THE ORDINAL NUMBERS CORRESPOND TO THE ORDINAL NUMBERS IN THE FORM) ,gh:N Nwm^Y齎Yuf[u?e淾VYf[褢3u鲖hA{| (WkX橯,g3u鲖h圞NMR鲖鎷苸桘 0 Nwm^Y齎Yuf[u?e淾VYf[褢3u鲖t濺誰 0蔛 0 Nwm^Y齎Yuf[u?e淾VYf[褢A{| 3u鲖苸R 0 哊銐3u鲖 Nwm^Y齎Yuf[u?e淾VYf[褢A{| 剉D劼dh9DG$H$^>`劼d劑dh9DG$H$`劑gddh9DG$H$gd dh9DG$H$gd Zdh9DG$H$gd劋dh9DG$H$`劋gd & Fdh9DG$H$gd剤dhG$H$]剤gd ''~(((())6*h*l******+ +>+@++++++,,,8,F,,,B-F-L-d- . .,.2.b.d.n.~.//////"/&///00111p鴓 q"qbqdq阸靟*r,r遐遐弩洋洋洋洋洋企企洋后洋阁驯篾篾篾篾 h>*PJUhB*PJo(phhPJnHo(tHh>*PJo(hCJPJaJo(h駼ohCJPJaJo( hPJo( hPJF+z, - -B-D-F-L-f-p------ .$.勔dh$9DG$H$If^.`勔a$gd$dh$9DG$H$Ifa$gd & Fdh9DG$H$gd劤dh9DG$H$`劤gd劤dh9DG$H$WD`劤gd dh9DG$H$gd ......fUUUUdh$9DG$H$Ifgdkd$$If杔謀"e{j bE 064 la..... .dSSSSdh$9DG$H$Ifgdkd$$If杔敃謀"e{j bE 064 la .".$.&.(.*.dSSSSdh$9DG$H$Ifgdkd$$If杔敃謀"e{j bE 064 la*.,...2.`.b.d.dWWGWG & Fdh9DG$H$gd dh9DG$H$gdkd $$If杔敃謀"e{j bE 064 lad.n.€......//Rkds $$If杔謀;<   rP064 la$dh$9DG$H$Ifa$gd // / ///////SkdG $$If杔敃謀;<   rP064 ladh$9DG$H$Ifgd //// /"/dSSSSdh$9DG$H$Ifgdkd- $$If杔敃謀;<   rP064 la"/$/&/Z/z/dWG6刪dh9DG$H$^刪gd & Fdh9DG$H$gd dh9DG$H$gdkd $$If杔敃謀;<   rP064 laz//1611|p"q$qbqdq詑yhW劑dh9DG$H$`劑gd刪dh9DG$H$^刪gd & Fdh9DG$H$gddh9DG$H$gd別dh9DG$H$^別gd €dh9DG$H$gd @@刪dh9DG$H$^刪gd 刪dh9DG$H$^刪gd刪凙dh9DG$H$^刪`凙gd b剉駛韹4ls^颯錘(u駛韹f[`N/I can be taught in English: /f/Yes % &T/No % c)vQ諲韹/Other Languages:_________________4ls^/Proficiency______ egNSf[`NR/Plan for Study in China a) ,g褃f[隭 /Undergraduate(Bachelor s Degree) Program % Ux隭f[MO/Master s Degree Program % ZS隭f[MO/Doctor s Degree Program % b) f[`NNN/ Major of Study c) f[`N鰁魰 / Duration of the Study 陙/From______t^/Year______g/Month 髞/To______t^/Year_____g/Month 遙(WNSf[`Nbxvz剉鎷苸匭筟颯鍿D柛~ Please Describe the Details of your Study or Research Plan in China (an extra paper can be attached if this space is not enough): ____________ ____________________________________________ ____________ ____________________________________________ ____________ ____________________________________________ ____________ ____________________________________________ 裇h垊v;N亯f[/g簨噀0W刓O蔛\O罷 Academic Papers, Works & Artworks Published: ____________ ____________________________________________ ____________ ____________________________________________ ____________ ____________________________________________ (WNS#峘O3u鲖婲剉T€鹼篘/The Person in China in Charge of Your Application Affairs: 覻 T/Name:___ ______5u輯/Tel:___ _____ Ow/Fax:_________________ 0W@W/Address:_____________________ _______________________ 3u鲖篘/f&T(WNSf[`Nb鸑L€/Have you ever studied or worked in China? /f/Yes: % f[`Nb鸑L€USMO/Institution or Employer: _________ _____________ (WNS鰁魰/Time in China: 陙/From:_____t^/Year__g/Month 髞/To:____t^__g/Month &T/No: % 3u鲖篘睳^\臽礠/Family Members of the Applicants: 覻 T/Name t^ 劅/Age L€ N/ Occupation M憊P/Spouse ______________ 6r睳/Father ______________ 蚹睳/Mother ______________ _ (W,gVYf[褢3u鲖*g穬惽弰v臽礠 N `O/f&T Ta3u鲖 Nwm^Y齎Yuf[u?e淾VYf[褢B{| ? In case you fail to get this Scholarship A, would you agree or disagree to continue to apply for Scholarship B? Ta/ Agree % N Ta/Disagree % 3u鲖篘軴翄fN Letter of Guarantee b軴翄3u鲖h-N@bkX橯剉@b g匭筟孴衏汷剉Pg檈w瀃鄀飲 I hereby affirm that all the information and materials given in this form are true and correct. b軴翄d Nwm^Y齎Yuf[u?e淾VYf[褢Y*g3u鲖 TN鰁魰剉vQ諲-N齎?e淾VYf[褢 I ensure that besides the SGS, I have not applied for any other Chinese government scholarships within the period I study in Shanghai. Shanghai (WNSg魰 b\u悎[-N齎剉誰媉0誰膲 N蜰婲鸑UOqS砙-N齎>yO閥廭剉0N,g篘egNSf[`N珟齆 N&{T剉;m≧ During my stay in China, I shall abide by the laws and decrees of the Chinese government, and will not participate in any activities which are deemed to be adverse to the social order of China and are inappropriate to my capacity as a student. b(W玁譙VYf[褢g魰 N鄀Ee亯Bl豐鬴f[!h孴@bf[NN During the period of my getting SGS, I shall not apply for any changes of institution and specialty of study without valid reasons. (Wf[g魰 b\u悎[f[!h剉!h獈0!h膲 hQ汻昩eQf[`N孴xvz錧\O0 \蛻f[!h剉Yef[塠抍 During my study in China, I shall abide by the rules and regulations of the host university, concentrate on my studies and researches, and follow the teaching programs arranged by the university. b\ cgq膲歔耂燫 Nwm^Y齎Yuf[u?e淾VYf[褢t^膵 I shall go through the procedures of the annual assessment of SGS status as required. b\ c膲歔gP栴O孾f[N cg轛齎 N鄀Ee(WNS辬Yu I shall return to my home country as soon as I complete my scheduled study program in China, and will not extend my stay in China without valid reasons. 俌輳蚐 N饛軴翄 €譙0R-N齎誰媉0誰膲b!h獈0!h膲剉閌Y b?aa譙 Nwm^Y齎Yuf[u?e淾VYf[褢t訷XTO-Nbkb諷坢VYf[褢蔛vQ僛鴙擽剉YZ0 If I am judged by the Chinese laws and decrees and the rules and regulations of the university as having violated any of the above, I will not lodge any appeal against the decision of SGS administration on suspending, or withdrawing my scholarship, or other corresponding penalties. 3u鲖篘~{W[/Signature of the Applicant: 錯g/Date:__ ______________________________ 鄀dk~{ T 3u鲖鄀He/The application is invalid without the applicant s signature @bD朠g檈臽礠 鲖(W@bD朌桍NMRR X hf Materials Attached (Please Indicate with  X in the Bracket.) % ,g篘gq YpS鯪/A Copy of the Passport. % $N\╟P冡O/Two Letters of Recommendation. % ,g篘gTf[哠b閪US YpS鯪{榣Q翄 /Transcript of Study Records of the Most Advanced Studies (Notarized Photocopy). % ,g篘gTf[哠翄fN YpS鯪{榣Q翄 /Certificate of the Most Advanced Studies (Notarized Photocopy). ,g褃/Bachelor s Degree % Ux隭/Master s Degree % ZS隭/Doctor s Degree % vQ僛/Others % % egNSf[`NR/ Study Plan in China. % @b裇h垊v噀鄗I{/ Articles or Papers Published. % /g\O罷,g篘\O罷i_gqmQ _ 0髼PN\O罷,g篘髼PN\O罷襳_U_髼&^N豽 闟P3u鲖/g孴髼PNNN剉3u鲖篘 /Examples of Artworks (6 color pictures) or Music Work (1 audio tape) (Only for the applicants applying for Fine Arts and Music). % vQ僛D桍N鲖R鶴 /Other Attachments (A List Is Needed). ________________________________________________________ 鑜(1) 蟢齆3u鲖Pg檈gY N厤菑20u 鲖hQ钀O(uA4竳0 Each set of the complete materials should not exceed 20 pages. 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