申请审核攻读博士学位研究生报考登记表

填表说明

本表作为西安电子科技大学博士研究生入学考试书面申请材料。填写本表必须实事求是，认真详实全面，一至十一项打印，其他用黑色签字笔填写。

一、报考学科、专业

报考院系代码、名称

报考

专业代码、名称

报考指导

教师报考研究方向

代码、名称

考试方式

报考类别报考外语语种报考专业基础课

报考专业课

委定单位

所在地省市

委定

单位名称

获学士学位单位代码、名称

获学士学位专业代码、名称

获学士学位年月日学士学位证书编号

本科毕业

单位代码、名称

本科毕业

专业代码、名称

本科毕业年月日本科毕业证书编号

获硕士学位单位代码、名称

获硕士学位专业代码、名称

获硕士学位年月日硕士学位证书编号

硕士毕业

单位代码、名称

硕士毕业

专业代码、名称

硕士毕业年月日硕士毕业证书编号

本科学历学习形式

获硕士

学位方式

在校生

注册学号

最终学历最终学位学籍／学位

认证码

网报ID 号

申请人姓名

申请人姓名拼音

近期免冠

照片

攻读博士学位研究生报考登记表Application for Admission

注：此表由考生所在单位基层组织部门或人事部门填写。

专家推荐信LETTER OF RECOMMENDATION

致考生（To the Applicant）

考生必须向西安电子科技大学提交两份《专家推荐信》。考生在下栏中填好个人信息，将此表分送两位了解和熟悉自己的专家（其中一位最好是考生的硕士生指导教师）。为方便专家填写推荐意见后将其退回考生，请考生在下面的栏目中详细写明自己的通信地址。

Applicant should have two letters of recommendation submitted from professors or others who can assess the quality of his/her academic performance, capability and potential of research. Please ask to have these letters sent directly to the institution to which you are applying or returned to you with the envelope sealed.

(以下栏目由考生填写This section to be filled in by the applicant)

考生姓名考生电话

(Name of Applicant) (Telephone Number)

考生通信地址：

(Address of Applicant)

申请博士招生单位：西安电子科技大学

(Institution to which the applicant is applying)

招生单位地址、邮编：陕西省西安市太白南路2号西安电子科技大学研招办，邮编：710071

(Address of Institution)

致推荐人To the Referee

非常感谢您愿意为该考生做推荐人。请您在背面栏中对该考生以往科研工作及其学术水平、科研工作能力等作出评价，并按上面考生的地址将本《专家推荐信》用信封封好退回给考生。

You are named by the applicant as a referee for his/her application of doctor admission in the above listed institution .We would appreciate your opinion of his/her academic performance capability and potential in research work .Please directly send this form to institution to which he/she is applying or return it to the applicant with the envelope sealed .If you prefer to write a personal letter rather than this from, please feel free to do so and attach this form to your letter.

( 未完，请看背面To the continued)

(以下栏目由推荐人填写) The following to be filled in by the referee)

推荐人姓名

(Name of Referee)

推荐人职务或职称

(Position and Title)

推荐人工作单位

(Institution and Address)

推荐人与考生的关系

(Relationship with the Applicant)

推荐人电话推荐人传真

(Telephone Number) (Facsimile)推荐意见(Recommendation):

推荐人签字推荐日期

(Signature) (Date)

专家推荐信LETTER OF RECOMMENDATION

致考生（To the Applicant）

考生必须向西安电子科技大学提交两份《专家推荐信》。考生在下栏中填好个人信息，将此表分送两位了解和熟悉自己的专家（其中一位最好是考生的硕士生指导教师）。为方便专家填写推荐意见后将其退回考生，请考生在下面的栏目中详细写明自己的通信地址。

Applicant should have two letters of recommendation submitted from professors or others who can assess the quality of his/her academic performance, capability and potential of research. Please ask to have these letters sent directly to the institution to which you are applying or returned to you with the envelope sealed.

(以下栏目由考生填写This section to be filled in by the applicant)

考生姓名考生电话

(Name of Applicant) (Telephone Number)

考生通信地址：

(Address of Applicant)

申请博士招生单位：西安电子科技大学

(Institution to which the applicant is applying)

招生单位地址、邮编：陕西省西安市太白南路2号西安电子科技大学研招办，邮编：710071

(Address of Institution)

致推荐人To the Referee

非常感谢您愿意为该考生做推荐人。请您在背面栏中对该考生以往科研工作及其学术水平、科研工作能力等作出评价，并按上面考生的地址将本《专家推荐信》用信封封好退回给考生。

You are named by the applicant as a referee for his/her application of doctor admission in the above listed institution .We would appreciate your opinion of his/her academic performance capability and potential in research work .Please directly send this form to institution to which he/she is applying or return it to the applicant with the envelope sealed .If you prefer to write a personal letter rather than this from, please feel free to do so and attach this form to your letter.

( 未完，请看背面To the continued)

(以下栏目由推荐人填写) The following to be filled in by the referee)