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外国留学生申请中科院研究生院奖学金年度评审表

时间:2009-08-07

 

外国留学生奖学金年度评审表

FORM FOR ANNUAL REVIEW OF GSCAS SCHOLARSHIP STATUS

 

表一 (Form 1

本页由奖学金生本人逐项认真填写/The scholarship student shall 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):/Family Name: 

/Given Name: Middle Name: ___________________________

性别/Sex:___________出生日期/Date of Birth: _________/Year  ______/Month  _____/Day

出生国(地区)/Country(Region) of Birth:____________国籍/Country of Citizenship:_______________

学生类别/Student Category (Please Check):

硕士研究生/Master’s Degree Student博士研究生/Ph. D. Student

普通进修生/Regular VisitingStudent 高级进修生/Senior VisitingStudent

培养单位/Institute: ____________________ 学习专业/Research Field: _________________________

本人所享受的奖学金为/The scholarship I enjoy is (Please Check)

 全额奖学金/Full Scholarship

部分奖学金/PartialScholarshipHousing;  Full Tuition Waiver; Partial Tuition Waiver, with the actual paid tuition beingYuan/Academic Year;Living stipend□)

入学时间/Enrollment TimeYr.Mon.

申请年度为/IntendingScholarship Application Period:在学的第几/No. 学年/Academic Year in GSCAS.

Please attach:

1.Summary of personal academic performance in the past academic year, which should be signed by Advisor.

2.Abstracts of published or accepted papers in the past academic year.

3.Photocopy of published paper or Original Letter of Acceptance of papers from Journals in the past academic year.

 

I have attached the above documents with this form.

 

本人签字/Signature: __________________ 日期/Date ______/Year _____/Month ____/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.部分奖学金:/Partial Scholarship: 全额奖学金中的一项或几项/One or more items of full scholarship.

 

表二 (Form 2

本页由培养单位填写/The scholarship student shall not write bellow this line

培养单位名称:

该生本学年主要课程考试成绩及所获学分情况:

课程名称

成绩

学分

 

 

 

 

 

 

 

 

 

学习态度:很好□,好□,一般□,差□

行为表现和奖惩情况:______________________________________________________________________________

______________________________________________________________________________

上学年度奖学金评审情况: 合格 □ 不合格 □ 

导师推荐意见:

导师姓名

 

工作单位

 

职称/职务

 

联系电话

 

E-mail

 

 

 

导师签字:   

培养单位意见:

奖学金申请

全额

奖学金

 同意  /  不同意

 

部分

奖学金

学费

全部免除

 同意  /  不同意

□ 部分免除

减免:/学年;

实收:/学年

住宿

培养单位提供

 同意  /   不同意

生活费

补贴

向研究生院申请

 同意  /   不同意

如不能从研究生院获得,培养单位提供

 同意  /   不同意

 

培养单位公章

负责人签字:  

留学生奖学金评审委员会意见:

 

留学生奖学金评审委员会公章

评委会主任签字: