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| 1. PERSONAL INFORMATION |
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| APPLICATION
TYPE |
□
PH.D. Thesis Scholarship
□
Master Thesis Scholarship |
| CHINESE NAME |
|
ENGLISH NAME |
(Last Name) (First
Name) (Middle Name) |
| I.D.NO. |
|
PASSPORT NO. |
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| CITIZENSHIP |
|
STATUS |
|
GENDER |
|
DATE OF BIRTH |
(Y) (M) (D) |
| PRESENT
SCHOOL |
COUNTRY |
|
PERIOD |
|
| SCHOOL |
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| HOME
ADDRESS |
|
TEL |
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| FAX |
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SCHOOL ADDRESS |
|
TEL |
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| FAX |
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E-MAIL ADDRESS |
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| 2. EDUCATION |
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| NAME
OF SCHOOL |
COUNTRY |
MAJOR
FIELD |
DEGREE |
PERIOD
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| 3. PROFESSIONAL EXPERIENCE |
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| INSTITUTION |
DEPARTMENT |
POSITION |
PERIOD PRESENT |
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| 4. LANGUAGE |
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| KIND |
CHINESE |
ENGLISH |
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| EXCELLENT |
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| FAIR |
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| 5. HONORS AND AWARDS |
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| HONORS AND
AWARDS |
DAY |
HONORS AND
AWARDS |
DAY |
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| 6. TITLE |
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| 7. SIGNATURE |
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