来华留学新生奖学金申请表
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为促进本国与中国的交流与合作做出贡献者
Any contribution to exchanges and cooperation between your country and China (Y/N)
入学综合成绩情况(由老师填写） Comprehensive Performance Information (Filled by teacher/counsellor)
面试成绩 Interview Performance
入学考试综合成绩
Comprehensive Performance of Entrance Examinations
笔试成绩 Written Test Performance
入学考试成绩 Comprehensive Performance of
Entrance Examinations
福建医科大学来华留学新生奖学金申请表
Application Form for Scholarship of International Freshmen of Fujian Medical University
申请人基本信息 Applicant Information
英文名 English Name
排名 Ranking
排名百分比 Ranking Percentage
入学综合成绩 Comprehensive Performance
入学综合成绩排名百分比 Comprehensive Ranking Percentage
其他申请条件（由老师填写） Prerequisite (Filled by teacher/counsellor) 违法违纪情况 Violation of law or regulations (Y/N) 处分情况 Warnning or punishment received (Y/N) 是否按时缴清学宿险费 Due payment of fees (including tuition, accommodation and insurance)(Y/N)
前置阶段学习成绩 Academic Performance of Previous Education
考试名称 Name of Examination
学业成绩 Academic Performance
成绩百分比 Percentage
排名 Ranking
排名百分比 Ranking Percentage
Any recreation & sports expertise certified by the professional organizations (Y/N)
是否获得其它各类政府奖学金 Any categories of government scholarships obtained
(Y/N)
辅导员 Counsellor
申请人签字Signature：
审核意见 Confirmation
日 期Date：Hale Waihona Puke Baidu
签 字Signature： 日 期Date：
性别
年级
学号
Gender
Grade
Student ID No.
是否在本国或国际各类竞赛中获得奖项 Any awards in domestic or international competitions
(Y/N)
是否有水平较高且获得专业机构认证的文体特长
中文名 Chinese Name
专业 Major
是否有出入境及居留许可不良记录
Bad record on immigration and resident permit (Y/N)
本人承诺以上信息全部属实，如有不实愿意承担一切后果。 Herein I promise that all above information is true, and I will undertake all results therefrom.
Any contribution to exchanges and cooperation between your country and China (Y/N)
入学综合成绩情况(由老师填写） Comprehensive Performance Information (Filled by teacher/counsellor)
面试成绩 Interview Performance
入学考试综合成绩
Comprehensive Performance of Entrance Examinations
笔试成绩 Written Test Performance
入学考试成绩 Comprehensive Performance of
Entrance Examinations
福建医科大学来华留学新生奖学金申请表
Application Form for Scholarship of International Freshmen of Fujian Medical University
申请人基本信息 Applicant Information
英文名 English Name
排名 Ranking
排名百分比 Ranking Percentage
入学综合成绩 Comprehensive Performance
入学综合成绩排名百分比 Comprehensive Ranking Percentage
其他申请条件（由老师填写） Prerequisite (Filled by teacher/counsellor) 违法违纪情况 Violation of law or regulations (Y/N) 处分情况 Warnning or punishment received (Y/N) 是否按时缴清学宿险费 Due payment of fees (including tuition, accommodation and insurance)(Y/N)
前置阶段学习成绩 Academic Performance of Previous Education
考试名称 Name of Examination
学业成绩 Academic Performance
成绩百分比 Percentage
排名 Ranking
排名百分比 Ranking Percentage
Any recreation & sports expertise certified by the professional organizations (Y/N)
是否获得其它各类政府奖学金 Any categories of government scholarships obtained
(Y/N)
辅导员 Counsellor
申请人签字Signature：
审核意见 Confirmation
日 期Date：Hale Waihona Puke Baidu
签 字Signature： 日 期Date：
性别
年级
学号
Gender
Grade
Student ID No.
是否在本国或国际各类竞赛中获得奖项 Any awards in domestic or international competitions
(Y/N)
是否有水平较高且获得专业机构认证的文体特长
中文名 Chinese Name
专业 Major
是否有出入境及居留许可不良记录
Bad record on immigration and resident permit (Y/N)
本人承诺以上信息全部属实，如有不实愿意承担一切后果。 Herein I promise that all above information is true, and I will undertake all results therefrom.