SM3/19 Scholarships for Undergraduate Studies in Singapore 2011 新加坡企业奖学金 Application Form申请表格 Please complete this form with the photograph and attach a photocopy of the following documents: 请将表格填妥,并附上下列文件影印本各一份: Identity Card or Residential Registration Document 身分证或 户口本 Senior Middle School Report 高中学年报告, 含学习成绩单及操行评语 National College Entrance Examination Results 高考成绩 Award Certificates (eg National Mathematics Olympiad) 奖状(例如:全国数学奥赛省一等奖等) (A) Personal Particulars 申请人资料 Name in Hanyu Pinyin (in BLOCK letters, underline surname) 汉语拼音姓名(用正楷书写,在姓氏底部划线) Name in Chinese 中文姓名 Gender 性别* Male 男 Female 女 Date of Birth 出生日期 Province of Birth 出生地 (省) City of Birth 出生地 (市) Race 民族 Religion 宗教* None 无 _________ 日日 月月 年年年年 1 9 Nationality国籍 * China 中国 F ________ Identity Card Number 身份证号码 Passport Number 护照号码 Email 电子邮件 Have you previously applied for Permanent Residence (PR) in Singapore? 是否曾申请新加坡永久居留权? Yes 是 If yes, please indicate your PR effective date (DD-MM-YYYY) : 如是,请注明永久居民权的有效期(日/月/年): _________日_________月____________年 No 否 Have you ever studied in Singapore before? 是否曾在新加坡学习? Yes 是 No 否 If yes, please indicate 如是,请注明: Name of school 学校名称:__________________________________________________________________________________ Period of studies (YYYY to YYYY) 在校时间: 从____________年至________________年 Home Address 住址 (请用中文填写) Postal Code 邮编: Home Number 住家电话号码 001-86- - 区号 电话 Handphone No. 手机号码 其它电话号码: _____________________ (B) School Attended 学习经历(请用中文填写) Name of schools attended including the pr...