附件：海南省华文教育奖学金申请表.doc

附件 申 请 编 号: No. Application 海南省华文教育奖学金申请表 APPLICATION FORM FOR HAINAN OVERSEAS CHINESE LANGUAGE AND CULTURE EDUCATION SCHOLARSHIP (HOCS) 申请就读学校 Institution to Apply for 申请人姓名 Name of Applicant 填表日期 Date 海南省外事侨务办公室 编制 Designed by Foreign and Overseas Chinese Affairs Office of Hainan Province 海南省华文教育奖学金申请表 APPLICATION FORM FOR HAINAN OVERSEAS CHINESE LANGUAGE AND CULTURE EDUCATION SCHOLARSHIP (HOCS) 1. 申请人情况/Personal Information: 护照用名/ Name as in Passport: 姓/Family Name: ____________________________________ 名/Given Name: _____________________________________ 照片 Photo 国籍/Nationality: ___________ 护照号码/Passport No.: ____________ 出生日期/Date of Birth: 年/Year_______月/Month_______日/Day_______ 出生地点/Place of Birth: 国家/Country:_____________ 性别/Sex: 男/Male □ 城市/City:_____________ 女/Female □ 婚姻状况/Marital Status: 已婚/Married □ 未婚/Single □ 丧偶/widowed □ 离异 Divorced □ 母语/Native Language:_ ____ 宗教/Religion:________ 当前联系地址/Present Address:__________________ 电话/Tel: ____ ___ 传真/Fax: ____________ _____ ______________ ________________ E-mail: ________________________ 永久通信地址/Permanent Address: __________________ __________________ 2. 受教育情况/Education Background: 学校 Institutions 3. 在校时间 Years Attended (from/to) 主修专业 毕业证书及学位证书 Fields of Study Certificates Obtained 工作经历/Employment Record: 工作单位 起止时间 从事工作 Employer Time (from/to) Work Engaged 职务及职称 Post/Academic Status 4. 语言水平/Language Proficiency: a) 汉语/Chinese: 很好/Excellent：□ 好/Good □ 一般/Fair □ 差/Poor □ 不会/Don’t Know □ HSK 考 试 等 级 或 其 他 汉 语 水 平 证 书 / Level of HSK or other certificates which can show your Chinese level:__ ______________________________________ b) 英语/English: 很好/Excellent：□ 好/Good：□ /Fair：□ 差/Poor：□ 不会/None：□ c) 其他语言/Other Languages:________________水平/Proficiency 5. 来华学习计划/ Study Proposed in China: a) 语言进修/Language Program□ b) 学习时间 / Duration of the Program: 自/From：______年/Year___月/Month 至/To：______年/Year__月/Month 6. 拟在华学习的内容 Please describe the details of your study in China: ____________ 7. ____________________________________________ 在华负责你申请事务的联系人/The Person in China in Charge of Your Application Affairs: 姓名/Name:___ 8. ______电话/Tel:___ _____ 传真/Fax:_________________ 地址/Address:_____________________ _______________________ 申请人是否曾在华学习或任职/Have you ever studied or worked in China? 是/Yes: □ 学习或任职单位/Institution or Employer: _________ 在华时间/Time in China: 自/From:_____年/Year _____________ 月/Month 至/To:_____年/Year____月/Month 否/No: □ 9. 申请人亲属情况/Family Members of the Applicants: 姓 名 Name 配偶/Spouse: ______________ 父亲/Father : ______________ 母亲/Mother: ______________ 年 Age 龄 职 业 Occupation 申请人保证书 Letter of Guarantee 1. 我保证申请表中所填写的所有内容和提供的材料真实无误； I hereby affirm that all the information and materials given in this form are true and correct. 2. 我保证除海南省华文教育奖学金外未申请同一时间的其他中国政府奖学金； I ensure that besides the HAINAN OVERSEAS CHINESE LANGUAGE AND CULTURE EDUCATION SCHOLARSHIP （HOCS）, I have not applied for any other Chinese government scholarships within the period I study in Hainan. 3. 在华期间，我将遵守中国的法律、法规，不从事任何危害中国社会秩序的、与本人来华学习身份不符合的活动； 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. 4. 我在享受奖学金期间不无故要求变更学校和所学专业； During the period of my getting HOCS, I shall not apply for any changes of institution and specialty of study without valid reasons. 5. 在学期间，我将遵守学校的校纪、校规，全力投入学习和研究工作。尊重学校的教学安排； 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. 6. 我将按规定期限修完学业，按期回国，不无故在华滞留； 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. 7. 如违反上述保证而受到中国法律、法规或校纪、校规的惩处，我愿意接受海南省华文教育奖学金管理委员会中 止或取消奖学金及其它相应的处罚。 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 HOCS administration on suspending, or withdrawing my scholarship, or other corresponding penalties. 申请人签字/Signature of the Applicant: 日期/Date:________________________________ （无此签名，申请无效/The application is invalid without the applicant’s signature） 所附材料 Materials Attached □ 本人护照复印件/A Copy of the Passport. □ 华侨华人社团推荐信/Letters of Recommendation by local Overseas Chinese Association. □ 来华学习计划/ Study Plan in China. □ 所发表的文章及其他作品等/ Articles, Papers or Artworks Published. □ 在学证明或在职证明等/ Study Certification by your school or Job Certification by your employer.. □ 其它附件（请列出）/Other Attachments (A List Is Needed) __________________________________________________________ 注 ： 无 论 奖 学 金 申 请 是 否 被 批 准 ， 上 述 申 请 材 料 恕 不 退 还 /Whether the application for HOCS is approved or not, all the application materials will not be returned.