研究生演讲登记表

研究生演讲登记表Registration form for Graduate Student Speaker（2011年3月1日前返回SICCA Return to SICCA before March 1 , 2011）发言稿准备(请演讲者填写)

Speaker’s Information We Need

请用Word文档或标准字体填写Please fill in the blank below ：

发言主题（中文名称）：Topic(In Chinese)___ _____________________________________

发言主题（英文名称）：Topic (In English_)_________________________________________ 演讲人/Speaker’sName:___________________

电子邮箱Email Address：_ _ ____ 攻读学位Study Degree：___ _ 电话Tel No.__________________ ___ 手机Mobile No.______ ________ 学校名称University: 院系College:

导师姓名Tutor Name：研究方向Field of research：

发言内容中英文摘要（请不要超过200字）：Speech Summary (200 words at most, In Chinese and English)

_______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ ___________________________________________________________________________

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发言者中英文简介（请不要超过200字）,请附讲师照片。Speaker’s introduction (200 words at most, In Chinese and English, we need a Speaker’s photo as well)

_______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________

_______________________________________________________________ ___ _______________________________________________________________________________ _______________________________________________________________ ___ _______________________________________________________________________________ _______________________________________________________________ ___ 导师签名/Tutor Signature In Chinese and English ______________ _ 日期/Date _

紧急联络电话：Contact Tel No. for us in urgency__________________手机(M.b.) _____ Enquire：

各位讲师的PPT演讲稿件在2011年3月1日前提供，please send your speech PPT slides before March 1 ,2011