NO.

BEIJING NORMAL UNIVERSITY

The above table is only for BNU

19 100875
No.19 Xinjiekouwai Street, Beijing 100875, P.R.China
Tel: +86-10-58800325 E-mail: isp@bnu.edu.cn
Fax:+86-10-58800823 Http://www.bnulxsh.com

APPLICATION FORM OF SCHOLARSHIP FOR INTERNATIONAL

STUDENTS
X

Please complete the form in Chinese or English. If the form is not filled in on PC, please write legibly in black or blue ink. Please indicate
with X in the blank chosen. Any forms that do not follow the notes will be invalid.

/Scholarships type

Beijing

Government Scholarship for International Students

BNU Freshmen Scholarship for international students

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1. /Personal Information

/Chinese Name
/Passport Name
/Family Name ________________________________________________
/Given Name _________________________________________________
/Nationality______________ /Passport No._____________

/Photo

/Date of Birth________/Year________/Month________ /Day

/Place of Birth/Country____________ /City____________
/Gender________________ /Marital Status________________
/Native Language_______________________ /Religion_________________________________
/Present Address_________________________________________________________________
_____________________________________________________________________________________________
/Tel______________________ /Fax ___________________ E-mail: _____________________
/Permanent Address______________________________________________________________
_____________________________________________________________________________________________
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2./Education Background
/Institution Where the Highest Academic Degree was Obtained or to Obtain
______________________________________________________________

/Source of Funding
/Chinese Government Scholarship
/Enterprise or Individual Funding

/School Exchange
/Self-supporting

/Certificates Obtained or to Obtain /Bachelor /Master

/Enrollment Time______________/Year______________/Month______________/Day
/Graduation Time _____________/Year____________/Month____________
/Day
/Total Credits_______________________
/Dissertation Title______________________________________________________________
3/Present Institution or Employer
/Name

/Position

/Time (from/to)

4. /Proposed Study in China

/Time/From_______/Year________/Month_______/Day
/To_______/Year________/Month_______/Day
/Academic Degree to Obtain
/Bachelors Degree

/Masters Degree /Doctors Degree

/Preference of Department____________________________________________________________
/Subject or Field of Study____________________________________________________________
/Supervisor (For Doctoral Students)__________________________ ______________
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5. /Academic Papers, Writing & Art Works

Published (Please specify the publication)
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
6. /Reasons for Scholarship Application
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
7. /The Guarantor Charging Your Case in China
/Name:_____________________ /Tel:_________________________ /Fax:___________________
/Address:_________________________________________________________________________________
/Note20A4
Each set of the complete materials should not exceed 20 pages. Please use DIN A4

Whether the candidates are accepted or not, all the application materials will not be returned

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/I Hereby Affirm That

1.
All information and materials given in this form are true and correct.
2.
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.

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3.
During my stay in China, I shall abide by the rules and regulations of the host university, and concentrate on my studies and
researches, and follow the teaching programs arranged by the university.
4.
I shall go through the procedures of the Annual Review of Scholarship for International Students Status as required.
5.
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 Beijing Normal University on Suspending, or withdrawing my scholarship, or other
penalties.

/Signature of the Applicant______________________/Date_______________

/The application is invalid without the applicants signature