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外国青年学者研究基金推荐申请书.doc

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Application Form of The Research Fellowship for International Young Scientists (for recommendation) The Research Fellowship for International Young Scientists Application Form (for recommendation) Applicant’s Name Host Institution Title of the project Proposed stay at the host institution From (MM/DD/YY) to (MM/DD/YY) General information Applicant’s information Surname Middle name Given name Gender Date of birth Nationality Highest academic degree Current employer (if any) Current position (if any) Contact information in your country Office Home Host institution’s information Host institution Address Postal Code Host researcher E-mail Tel. Fax Personal Background Please provide information according to the following outlines: 1.Education(indicate from the latest one): Name of University/Institution, Location (city, country), Degree, Field, From-to 2. Previous employment (indicate from the latest one) Name of employer, Location (city, country), Previous employment position, Field, From-to (MM/DD/YY) 3.Academic profile and achievements obtained in the past (No word limits to the description but a concise and comprehensive style preferred) 4.Ttles of other funds for which you are now applying 5.List of major publications Authors (all), Title, Journal, Vol., No., pp. - , month, year 6. Academic awards If applicable, please specify the title, organization and date. 7. Previous academic experience and awards in China a. Previous academic experience in China: Yes, No.; If yes, please specify the name of the university or institution, and the period of your stay. b. If you have been awarded research program(s) either as PI or group member by Chinese funding agencies (including NSFC), please specify: title of this program, Grant number, position (PI or member), duration of program, year to start Research Plan Your research plan at the host institution if the application is approved Abstract Abstract (limit

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