姓 名

性 别

出生年月

职 称

工作单位

申报单位

掌握何种外语

及熟练程度

对申请人学术水平、科研能力的评价(由申请人所在业务主管部门填写)                                                                           

负责人签字：  

                          业务主管部门盖章：

                                                 年     月      日                                                       

对申请人赴韩的意见(由派遣单位人事部门填写)

盖章（人事）：                                                                                                                                                                                                                     

                                                                                              年     月      日    

对申请人赴韩的推荐意见(推荐部门填写)

盖    章：                                                                                                                                                                                                                     

                                                                                              年     月      日                                                                           

姓名

照片

性别

国籍

出生日期

出生地

婚姻状况:           

若已婚，是否有家属同行:  是[  ]       否[  ]

同行配偶的姓名及年龄:                  同行子女的姓名及年龄:

目前从事专业领域及正在国内开展的项目名称：

专业领域:

项目名称:

工作单位、职务、学位和地址

1) 工作单位，现任职务(或职称）和学位：

2) 办公室地址：
办公电话:          传真:               E-mail:

3) 家庭住址：
家庭电话:

研究计划时间:

   从:      /     /        至:      /     /        共                月

         年    月    日         年    月    日

韩方课题负责人：

1) 姓名：

2) 现任职务（或职称）和院系：

3) 机构：

教育背景 (从大学起)

机构名称

主要领域

学术学位

起止日期

外语能力   (请用“优秀”、“良好”和“一般”三个等级填写)

语言

表达能力

写作能力

阅读能力

主要发表成果（包括学位论文）

过去赴韩活动

学习起止日期

地点

资助机构

访问目的

过去和现在进行的相关研究内容介绍

在韩期间研究计划：

日期:                   本人签字:                        

1. Name in full:                                                

Family           first            middle

Photograph

2.Sex

3.Nationality

4.Date of birth

5.Place of birth

6. Marital status:           If married will spouse accompany:  Yes[  ]       No[  ]

Name and age of accompanying spouse:

Name and age of accompanying children:

7. Field of specialization and proposed research title in China

Field:

Title:

8. Affiliation, present position, degree and address

1、 Affiliation, present position or title and degree

2、 Office address

Tel:          Fax:

E-mail:

3、 Home address

Tel:

9. Proposed tenure of research fellowships:

From:                     To:                   Total:                months

day  mouth  year      day  mouth  year

10. Proposed Korean advisor

1、 Name

2、 Position or title and department

3、 Institution

11. Educational background (from university)

Name of institution

Major field

Academic degree

Year

12. Foreign language proficiency

   (Evaluate using “excellent”, “good” and “fair”)

Language

Speaking

Writing

Reading

13. Major publications including graduation thesis

14. Previous visits to Korea

Year & length of study

place

Funded by

Purpose of visits

15. Past and current research

   (state past and current research relevant to the proposed research title)

16. Research plan under the fellowship program in Korea

Organization

Contact person

Phone No.

Email address

This Letter is to affirm that

organization name 

is willing to accept

applicant name

to work in the organization mentioned above

during MM/YY to MM/YY.

The position will be

position name

                          Signature:

                          Date:

                          (With official stamp )