请申请人用中文或英文填写此表格。请用电脑打印或用蓝色或黑色钢笔认真书写表格内容。请在所选项框内划‘×’表示。不按规定填写的表格将视作无效。
Please complete the form in Chinese or English. If you could not
complete the form on PC, please write legibly in black or blue ink.
Please indicate with ‘×’ in the blank chosen. Any forms that do
not follow the notes will be invalid.
1.申请人情况/Personal Information:
护照用名/Passport Name:
姓/Family Name: _________________________________
名/Given Name: _________________________________
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:_____________ 城市/City:___________________
男/Male：□ 女/Female：□ 已婚/Married：□ 未婚/Single：□ 其它/Other：□
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
_______________________________________________________________________________
在校时间/ Years Attended (from—to)
_______________________________________________________________________________
主修专业/ Fields of Study
_______________________________________________________________________________
毕业证书及学位证书/ Certificates Obtained or To Obtain
_____________________________________ ______________________________________
3.工作经历/Employment Record:
工作单位/ Employer
_______________________________________________________________________________
起止时间/ Time (from—to)
_______________________________________________________________________________
从事工作/ Work Engaged
_______________________________________________________________________________
职务及职称/ Posts Held
_______________________________________________________________________________
4.语言能力/Language Proficiency:
a) 汉语/Chinese:
很好/Excellent □ 好/Good □ 较好/Fair □ 差/Poor □ 不会/None □
HSK 考试等级/ Level of HSK test ________________________________________________
b) 英语/English:
很好/Excellent□ 好/Good □ 较好/Fair □ 差/Poor □ 不会/None □
我的英语水平可以用英语学习/I can be taught in English: 是/Yes □ 否/No □
c) 其他语言/Other Languages:____________________________________
5.来我校学习计划/Proposed Study in BJOU:
a) 研究学者/Research Scholar： □ 汉语进修生/Chinese Language Student： □
b) 申请来我校学习的专业或研究专题/Subject or Field of Study in BJOU:
____________________________________ ____________________________________
c) 申请学习时间/Duration of Study:
自/From：年/Year______ 月/Month______ 至/To：年/Year______ 月/Month _______
d) 申请奖学金时间/Duration of Scholarship Application:
自/From：年/Year______ 月/Month______ 至/To：年/Year______ 月/Month _______
e) 申请奖学金类别/Scholarship Applied for:
A.全额奖学金/ Full Scholarship □ B.非全额奖学金/ Non-full Scholarship：□
（请写出您申请的非全额奖学金的种类。Please write which non-full scholarship you want to apply）
a. 非全额一类奖学金/ Non-full Scholarship A Class
b. 非全额二类奖学金/Non-full Scholarship B Class
6.推荐您申请我校奖学金的机构或个人/Please Specify the Organization or Person Recommending You for BJOU Scholarship:
_______________________________________________________________________________
7.申请人在华事务联系人或机构/The Contact Person in China:
名称/Name:_____________________________ 电话/Tel: ____________________________
传真/Fax: _____________________________ 地址/Address:__________________________
8.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 Name: ________________________
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 年龄 职业
Name Age Employment
配偶/Spouse: ________________________ ______________ _________________
父亲/Father: _________________________ ______________ _________________
母亲/Mother: ________________________ ______________ _________________
＊请申请人在此表后附下述材料（如材料不全，申请将无法获得批准）：
Applicants should submit the following documents. The application would not be approved due to the insufficient documents.
1、本人最后学历证书（复印件）/Diploma of the Latest Studies(Photocopy)：
本科/Bachelor’s □ 硕士/Master’s □ 博士/Doctor’s □ 其它/Others □
2、外国人体格检查记录（复印件）/ Foreigner Physical Examination Form (Photocopy)
3、全额奖学金申请书/Full Scholarship Application
注： ①非全额奖学金申请者只须提供材料1和材料2。
②全额奖学金申请书主要包括：个人情况简介、学习动机、入学后的学习计划、在校或在职期间获得的奖励、学习目标（通过在我校的学习，希望取得怎样的成果或成绩）等。
③以上所有材料均需提供中文或英文译本。
Note: ① Applicant for Non-full Scholarship only needs to submit documents 1 and 2.
② Full Scholarship Application should include the following items: personal brief introduction, motivation to study, study plan, past awards in study or work, study goal (tentative achievement during study in BJOU.)
③ All documents require a Chinese or English translation.
申请人保证/I Hereby Affirm That
1.申请表中所填写的内容和提供的材料真实无误；
All information and materials given in this form are true and correct.
2.在华期间，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 in China which are deemed to be adverse to the social order of China and are inappropriate to the capacity as a student.
3.来华后服从学校安排，不得无故要求变更学校和所学专业；
I will agree to the arrangements of my institution and specialty of study in
Beijing made by the University, and will not apply for any changes in these two fields without valid reasons.
4.在学期间，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 the rules and regulations of the host university, and concentrate on my studies and researches, and follow the teaching programs arranged by the university.
5.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 program in China, and will not extend my stay without valid reasons.
6.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, or withdrawing my scholarship, or other penalties.
申请人签字/Signature of the Applicant:____________________________
日期/Date:____________________
