学生姓名/ Passport Name

照片

Photo

护照号码/Passport No.

性别/ Gender

□男/Male □女/Female

联系电话/Tel.

国籍/Nationality

出生日期/Date of Birth

学习专业/Research Subject

建行卡号/Card No of China Construction Bank

婚姻状况/Marital Status

未婚/Single已婚/Marriage

宗教信仰/Religious Belief (Optional)

血型/Blood Type

身高/Heigh

cm

学生类别/Student Category:

硕士研究生/Master’s Student,博士研究生/Doctoral Student

普通进修生/Visiting Student,高级进修生/Senior Visiting Student

奖学金类别/Scholarship Type:

国科大奖学金/UCAS Scholarship,

院长奖学金/CAS-TWAS Scholarship

中国政府奖学金/ Chinese Government Scholarship,

研究所奖学金/ Institute Scholarship

导师姓名/ Supervisor Name

紧急联系人/Contact Person(in Case of Emergency)

紧急联系人电话/ Contact Person Tel.

科技处意见/Division of Science and Technology for the Development Comment

注意事项/ Instructions:

国际学生或博士后需要将此登记表和以下材料一同提交至研究生部（209房间）。/ International students or postdoctor should submit this registration form along with the following required documents to graduate division (room 209) .

1. 普通护照身份页复印件/Photocopy of the ID page of regular passport

2. 1张1寸彩色照片/a one inch color photo