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APPLICATION FORM FOR THE BELT AND ROAD MASTER FELLOWSHIP PROGRAMME

2019-02-01

中国科学院“一带一路”硕士生奖学金计划申请表

APPLICATION FORM FOR THE BELT AND ROAD MASTER FELLOWSHIP PROGRAMME

本页由奖学金申请人逐项认真填写/The applicant shall carefully fill in the following parts.

姓名(同护照用名)/Name (Same as in Passport):

姓/Family Name                         名/Given Name                                     

性别/Sex ________ 出生日期/Date of Birth ________年/Year _______月/Month _____日/Day

国籍/Nationality                  单位/Current Institution/Employer                                                                 

学位/Degree awarded               毕业学校/University                                        

毕业时间/Date of Graduation ________年/Year _______月/Month _____日/Day

研究所/院系CASInstitute/ UCAS/ USTC Faculty                                                          

学习专业/Research Area                                                                                                                                        

课题名称（经中方导师同意）/Research proposal title (as agreed with host supervisor/tutor in China)

                                                                                           

奖学金申请期限/Desired Sponsor Period

From ______年/Year       月/Month     至/to ______年/Year        月/Month

Total ______年/Year(s)       月/Month(s)

如有其它资助,请说明/If funded by other resourcesduring the period of the Fellowship, please specify:

 

学术成果(可另附纸张)

Applicant’s academic publications, honors and awards (If needed, please attach an additional sheet.)

 

 

 

 

 

 

 

 

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

注意事项:/ Note: 

1. 请申请人用英文填写本表。This form is to be completed by the applicant in English only.

2. 本计划申请者免交报名费。Applicants for the fellowship shall be exempted from the application processing fee.

3. 本计划申请者提交材料以其申请办法规定为准。The materials to be submitted by the applicants for the fellowship shall be in accordance with its Call.

SUPERVISOR’S COMMENT PAGE

本页由导师和研究所/院系填写,再寄至国科大/中科大奖学金办公室

This page is to be filled in by the applicant’s supervisor and institute/faculty, and then mailed to UCAS/USTC Scholarship Office directly by the institute/faculty.

 

研究所/院系Institute/ Faculty：

申请人姓名

Applicant’s Name

 

申请人国籍

Nationality

 

联系电话

Telephone No.

 

Email

 

导师姓名

Supervisor’s Name

 

职称/职务

Professional Title/Position

 

联系电话

Telephone No.

 

Email

 

导师意见（非常重要，请导师经邮件、电话或视频对申请者进行评估后，如实填写意见。如有往来邮件请附后。）（Supervisor’s comments. VERY IMPORTANT.）：

 

 

 

 

 

 

导师签字(Signature)：

年(year)     月(month)       日(day)

研究所/院系意见(Comments of theInstitute/ Faculty)：

1.推荐该生申请本奖学金：¨同意   ¨不同意

（以下2-3项由国科大研究生培养单位填写）

2.按规定提供奖助学金：¨同意   ¨不同意

3.按规定协助该生解决非集中教学期间的住宿：¨同意   ¨不同意

 

 

负责人签字(Signature)：                                （单位公章/ Official Seal）

                                       年(year)      月(month)     日(day)

奖学金评审委员会意见/Comments of the Scholarship Selection Committee：

予以资助：¨同意   ¨不同意

 

                                         评委会主任签字(Committee Director’s Signature)：

 年(year)      月(month)     日(day)

备注：1. 本计划提供奖学金生活费每人每月4000元（含伙食、住宿、交通、保险、各项杂费）。

2. 集中教学期间，接收大学安排住宿，奖学金生须按规定向接收大学交纳住宿费。非集中教学期间，奖学金生应由其培养单位协助解决住宿，奖学金生须按规定向其培养单位交纳住宿费。