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Application Form For Chinese Government Scholarship: Personal Data

Dewan Iftekhar is applying for a Chinese Government Scholarship to pursue a Master's degree in Computer Science and Technology. He has studied in China before, obtaining a Bachelor's degree from Shenyang University of Chemical Technology from 2010 to 2014. If accepted, he wishes to study at Beijing Institute of Technology, Shanghai Jiao Tong University, or South China University of Technology. He declares that he will abide by Chinese laws and the rules of the host university during his time studying in China.

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Salam Dhali
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120 views4 pages

Application Form For Chinese Government Scholarship: Personal Data

Dewan Iftekhar is applying for a Chinese Government Scholarship to pursue a Master's degree in Computer Science and Technology. He has studied in China before, obtaining a Bachelor's degree from Shenyang University of Chemical Technology from 2010 to 2014. If accepted, he wishes to study at Beijing Institute of Technology, Shanghai Jiao Tong University, or South China University of Technology. He declares that he will abide by Chinese laws and the rules of the host university during his time studying in China.

Uploaded by

Salam Dhali
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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APPLICATION FORM FOR CHINESE GOVERNMENT SCHOLARSHIP

Personal Data:
Agency No. Agency Name
10007 BEIJING INSTITUTE OF TECHNOLOGY
Family Name Given Name
IFTEKHAR DEWAN
Photo
Chinese Name Gender
陈文令 Male
Date of Birth Marital Status
1991-12-30 Single
Nationality Native Language Passport No.
Bangladesh Other AE0861522
Country of Birth City of Birth Religion
Bangladesh Bogra Islam
Permanent Contact Tel Permanent Contact Fax Permanent Contact E-mail
+880-171-1133413 iftekharsyuct@gmail.com
Permanent Contact Address
House 10 Road 8
Section 6, Mirpur, Dhaka
Postal Code-1216
Bangladesh
Present Contact Tel Present Contact Fax Present Contact E-mail
+880-171-1133413 idsolution90@gmail.com
Present Contact Address
House 10 Road 8
Section 6, Mirpur, Dhaka
Postal Code-1216
Bangladesh

Education Background and Employment Record:


Highest Diploma
Institution
Shenyang Uni of Chemical Tech.
Years Attended Fields of Study
From 2010-03-01 To 2014-01-05 Computer Science & Technology
Certificates Obtained or to Obtain
Bachelor

Other Certificate I
Institution
Bogra Cant. School & College,Bogra
Years Attended Fields of Study
From 2006-03-01 To 2008-03-05 Science
_____________________________________________________________________________________________________________________

Serial Number: 411798 Page 1 of Generated: 23 Mar 2015


Certificates Obtained or to Obtain
Higher Secondary School Certificate

_____________________________________________________________________________________________________________________

Serial Number: 411798 Page 2 of Generated: 23 Mar 2015


Other Certificate II
Institution
Bogra Zilla School, Bogra
Years Attended Fields of Study
From 1998-03-09 To 2006-03-01 Science
Certificates Obtained or to Obtain
Secondary School Certificate

Current Employment
Employer

Time Engaged Work Engaged

Posts Held

Language Proficiency and Proposed Study in China:


Chinese Proficiency Level of HSK test or other certificates
Good
English Proficiency I can be taught in English Other Language
Excellent yes Bengali
Apply for Disciplines
Master's Degree Engineering
Majors
Computer Scinece and Technology
Preferences of Institution I
BEIJING INSTITUTE OF TECHNOLOGY
Preferences of Institution II
SHANGHAI JIAO TONG UNIVERSITY
Preferences of Institution III
SOUTH CHINA UNIVERSITY OF TECHNOLOGY
Duration of the Major Study
From 2015-09-01 To 2017-07-15
Do You Need Elementary Chinese Study prior to the Major Study
no
Duration of Your Elementary Chinese Study (not included in the length of the major study)

Have you ever Studied or Worked in China


yes
Institution or Employer Time(from/to)
Shenyang Uni. of Chemical Tech. From 2010-03-01 To 2014-01-05

Contact in China and Family Members:


Guarantor's Name Tel
Roni Bowmik +86-132 698 17617
E-mail Fax
roni2024@yahoo.com
Address
UCAS,55,Zhongguancun Dong Lu,Beijing- 100190, China

_____________________________________________________________________________________________________________________

Serial Number: 411798 Page 3 of Generated: 23 Mar 2015


Spouse's Name

Age Employment

Father's Name
Dewan Sadequr Rahman
Age Employment
50 Banker
Mother's Name
Shabnam Sabina
Age Employment
48 Govt. Employee at BTCL

◆ Supporting Documentation Attached(Please Indicate with 'X' in the Bracket.):

□ Two Application Forms.


□ Two Letters of Recommendation.
□ Admission Letter or Admission Notice of Chinese Universities.
□ Transcripts of the Most Advanced Studies(Notarized Photocopy).
□ Diploma of the Most Advanced Studies(Notarized Photocopy):
Bachelor's□ Master's□ Doctor's□ Others□
□ Foreigner Physical Examination Form(Photocopy).
□ Study Plan in China.
□ Articles or Papers Written or Published.
□ Examples of Art(6 color pictures)and Music(1 audio tape)Work(Only for the applicants applying for Fine Arts and Music).
□ Other Attachments(List Needed)：_______________________________________________________________
Note:Each Set of the complete materials should not exceed 20 pages．Please use DIN A4.
Whether the candidates are accepted or not,all the application materials will not be returned.

◆ I Hereby Declare That:

1. All information and supporting documentation provided for this application are complete, true and correct.
2. During my stay in China,I shall abide by the laws and decrees of the Chinese government,and will not participate in any activities
in China which are deemed to be adverse to the social order of China and are inappropriate to the capacity as a student.
3. I will agree to the arrangements of my institution and specialty of study in China made by CSC,and will not apply for any changes
in these two fields without valid reasons.
4. During my study in China,I shall abide the rules and regulations of the host university,and concentrate on my studies and researches,
and follow the teaching programs arranged by the university.
5. I shall go through the procedures of the Annual Review of Chinese Govemment Scholarship Status as required.
6. I shall return to my home country as soon as l complete my scheduled program in China,and will not extend my stay without valid
reasons.
7. If I am judged by the Chinese laws and decrees and the rules and regulations of the university as having violated any of the above,
I will not lodge any appeal against the decision of CSC on suspending,or withdrawing my scholarship,or other penalties.

Signature of the Applicant:_____________________Date:_________


(The application is invalid without the applicant's signature)

_____________________________________________________________________________________________________________________

Serial Number: 411798 Page 4 of Generated: 23 Mar 2015

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