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成都市〃一带一路〃留学生政府奖学金及成都市东盟艺术奖学金申请表application formfor chengdu“belt androad”government scholarshipfor internationalstudents andchengduasean artsscholarship(年度/)year姓名(中文)()/name chinese姓名(英文)()/name english申请学校/university/college:填报日期年/月//date yearmonth b/day成都市教育局制produced bychengdu educationbureau成都市〃一带一路〃留学生政府奖学金及成都市东盟艺术奖学金申请表application formfor chengdu“belt androad”government scholarshipfor internationalstudents andchengduasean artsscholarship申请人基本情况/personal information姓名/name照片/photo性别国籍/gender/nationality出生日期护照号码date ofbirth passportno.申请院校university/college□博士研究生/doctor^degree candidate留学生类别□硕士研究生/masters degreecandidatecategory ofpotential□本科生/bachelors degreecandidateinternational□专科*生/associate degreecandidatestudents口进彳修生/non-degree programcandidate申请专业/major通讯地址及九游会j9备用网址的联系方式address andcontact no.学习计划/study plan就读学校才/田、负责人签字/signature ofperson incharge二•见1(学校盖章/s tamp)。