浙江工业大学外籍及港澳台人员博士后申请审批表.doc

浙江工业大学外籍及港澳台人员博士后申请审批表ApplicationFormforPostdoctoralResearchFellow姓名Name性别Gender出生年月DateofBirth(mon./yr.)国籍Nationality专业技术职务及任职时间ProfessionalTitleandDateofAward最后学历、毕业学校、所学专业、学位及取得时间Highestacademicdegreereceived:Schoolgraduated:Fieldofmajor:Nameofdegree:Dateawarded:博士论文题目及指导教师Titleofdoctoratedissertation:Supervisor:现工作单位Currentemployer:从事专业及专长Specialty:联系电话及电子邮箱Phonenumber:Email:通信地址及邮编Address:申请进流动站Prospectivepostdoctoralresearchstation合作导师Nameofsupervisor进站后拟开展的课题名称Subjectofpostdoctoralresearchprogram个人简历(从大学开始/时间不间断)CurriculumVitae(Fromhighereducationqualificationwithoutinterval)近三年来研究工作情况Researchdescriptioninthepast3years发表论文数量Numberofpaperspublished其中SCI、EI收录数量NumberofpapersincludedinSCIorEI发表论文及参与科研项目详细清单(可另附页):Paperspublishedandresearchprojects(Addappendixifnecessary):家庭情况FamilyInformation配偶姓名Spouse出生年月DateofBirth(mon./yr.)最后学历、毕业学校、专业、学位及时间Highestacademicdegreereceived:Schoolgraduated:Fieldofmajor:Nameofdegree:Dateawarded:现工作单位及从事工作Currentemployerandposition子女情况(年龄、入学入托)Children(Age,Educationalstage)申请人承诺/Declaration:以上所填内容均真实有效,如与事实不符,本人愿承担一切责任。IherebyaffirmthatinformationIhaveprovidedinthisapplicationistrueandcorrectandIwillholdr