Education and Training
APPLICATION FORM FOR CAS-TWAS PRESIDENT’S FELLOWSHIP PROGRAMME
中国科学院与发展中国家科学院院长
奖学金计划申请表
APPLICATION FORM FOR CAS-TWAS PRESIDENT’S 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.
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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:
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学术成果(可另附纸张) Applicant’s academic publications, honors and awards（If needed, please attach an additional sheet.）
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本人签字/Signature:_______________ 日期/Date _______年/Year ______月/Month _____日/Day |
注意事项:/ Note:
请申请人用英文填写本表。This form is to be completed by the applicant in English only.
SUPERVISOR’S COMMENT PAGE
本页由导师和研究所/院系填写,再寄至本奖学金办公室
This page is to be filled in by the applicant’s supervisor and institute/faculty, and then mailed to CAS-TWAS President’s Fellowship Programme UCAS/USTC Office directly by the institute/faculty.
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研究所/院系Institute/Faculty： | |||
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申请人姓名 Applicant’s Name |
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申请人国籍 Nationality |
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联系电话 Telephone No. |
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导师姓名 Supervisor’s Name |
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职称/职务 Professional Title/Position |
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联系电话 Telephone No. |
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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) | |||
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研究所/院系意见(Comments of theinstitute/faculty)：
负责人签字(Signature)： （单位公章/ Official Seal） 年(year) 月(month) 日(day) | |||
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奖学金评审委员会意见/Comments of the CAS-TWAS President Fellowship Evaluation Committee：
评委会主任签字(Committee Director’s Signature)： 年(year) 月(month) 日(day) | |||