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1、北京市外国留学生奖学金北航外国留学生专项合作奖学金年度评审表Annual Review Form for Beihang University Foreign Students Program and Cooperation Scholarship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 x表示。Please complete the form in Chinese or English. If the form is not filled in on PC, please write legibly in black or blue i
2、nk.Please indicate with Xh the blank chosen.姓名Name(as in your passport)PHOTO岀生日期Date of Birth/Y/M/DMaleSi ngle:emaleMarried国籍Nati on ality出生地点Place of Birth护照号码及有效期Passport No./Valid Un til宗教信仰Religio n当前联系地址Prese nt Add电话号码Telepho ne No.传真号码FAX No.电子邮件E-mailSpecialty学习时间Durati onFrom/YCSpri ngCAutu
3、m nto/YCSpringCAutu mn推存机构名称Recomme nder上学年奖学金额度(学费ScholarshipTypeLast Academic Year (Tuition Fee ) oo%Co% Co%Co R其他(other )个人陈述Pers onal Stateme nt请另附纸,并请提交打印稿。Print or in block letter (attached pages)申请人保证I Hereby Affirm That1 .申请表中所填写的内容和提供的材料真实有效;All information and materials given in this form
4、are true and correct.2 .如违反规定而受到中国法律、法规或校纪、校规惩处,我愿意接受北航留学生奖学金评审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 Chin ese laws and decrees and the rules and regulati ons of the uni versity ashaving violated any regulation, 1 will not lodge any appeal against the decisionof BeihangUni versity on suspe nding, or withdraw ing my scholarship, or other pen alties.申请人签字Sig nature申请日期Date/Y/M/D班主任/导师意见Opinion of Head teacher/ Supervisor国际学院意见Opinion of Intern ati onal School