fc ipI'•^mnw^j0^t^

KEMENTERIAN PENDIDIKAN TINGGIMINISTRY OF HIGHER EDUCATION

Bahagian Hubungan AntarabangsaAras 14, No.2, Menara 2, Jalan P5/6Precint 5, 62200 PUTRAJAYAMALAYSIA

Tel : 603 - 8870 5371

Faks : 603-8870 6817

Fail Kami: KPT.600-7/2/9 Jld. 2 ( 29 )Tarikh : || April 2016

EDARAN SEPERTI DI LAMPIRAN

YBhg.Tan Sri/Datuk Seri/Datuk/DatoVDatin Paduka/Prof./Dr./Tuan/Puan,

TAWARAN BAGI UNESCO/PEOPLE'S REPUBLIC OF CHINA (THE GREAT WALL)CO-SPONSORED FELLOWSHIPS PROGRAMME 2016-2017

Dengan hormatnya saya merujuk kepada perkara di atas.

2. Adalah dimaklumkan bahawa Bahagian ini telah menerima sesalinan maklumandaripada Suruhanjaya Kebangsaan UNESCO Malaysia (SKUM) berkenaan tawaranuntuk menyertai UNESCO/Peop/e's Republic of China (The Great Wall) Co-SponsoredFellowships Programme 2016-2017.

• http://www.unesco.org/new/en/fellowships/programmes/unescopeoples-republic-of-china-the-great-wall-co-sponsored-fellowships-programme/

3. Kerjasama pihak YBhg.Tan Sri/Datuk Seri/Datuk/DatoVDatinPaduka/Prof./Dr./Tuan/Puan adalah dipohon untuk menyebarluaskan maklumantersebut di Jabatan/Bahagian/lnstitusi/Agensi masing-masing dan mengemukakanpermohonan lengkap kepada Bahagian ini sebelum 3 Mei 2016 i (u/p: Pn.Nor Zalfaritabinti Muhammad Nor) untuk penyelarasan selanjutnya. Bersama-sama ini dilampirkansesalinan dokumen berkaitan untuk rujukan dan tindakan lanjut pihak YBhg.TanSri/Datuk Seri/Datuk/DatoVDatin Paduka/Prof./Dr./Tuan/Puan jua.

4. Perhatian dan kerjasama daripada pihak YBhg.Tan Sri/DatukSeri/Datuk/DatoVDatin Paduka/Prof./Dr./Tuan/Puan dalam perkara ini amat dihargai dandidahului dengan ucapan terima kasih.

Sekian.

"BERKHIDMAT UNTUK NEGARA"

Saya yang menurut perintah,

( MOHD YUNUS BIN CHARLIE CHAFBahagian Hubungan Antarabangsab.p. Ketua SetiausahaKementerian Pendidikan Tinggi

s.k. YBhg. Dato' Seri KSUYBhg. Dato TKSU (B)

GTON)

LAMPIRAN A

.-fiSS****!"..

United Nations

Educational, Scientific andCultural Organization

Organisationdes Nations Unies

pour I'education,la science et la culture

Organizationde las Naciones Unidas

para la Education,la Ciencia y la Cullura

QpraHW3au,n8Ofi^efiMHeHHbix HauHii no

aonpocan o6pa30Banvra,HayKH h xyjibTypw

JAfcXwl a~a iS I <~aJeLj~a

m--R~$citmm

7. place da Fontenoy75352 Paris 07 SP, FranceTel: +33(0)145 68 10 00Fax : +33 (0)1 45 67 55 55

The Assistant Director-General

for External Relations and Public Information

China Scholarship Counci!www.csc.edu.cn/Laihua/

To: National Co imissions

for UNESCO ;<: Member

States invi

Permanent Deiegatic nsto UNESCO •;.! Member

States invite d

Fief: ERI/MSP/PPF/FEL/16/LNM.81

0 k ^K

Subject:

ladam/Sir,

UNESCO/People's Republic of China (The Great WalCo-Sponsored Fellowships Programme 2016-2017

ANNOUNCEMENT LETTER

On behalf of the Director-General, and within the frameworkUNESCO/People's Republic of China (The Great Wail) Co-SponsoProgramme, I am pleased to inform you that the Government of theRepublic of China is offering seventy-five (75) fellowships for theacademic year for advanced studies in varied subjects for the ben 'Member States (see Annex I).

Offered in open competition, these fellowships are intended for advanced •undergraduate and postgraduate levels for one year at Chinese uiCandidatures (a maximum of two per country) should be submitted as :the application form, to enable the selection of the most deserving cai sdidd Ithat UNESCO attaches high priority to gender equality, special attention .to women's candidatures for an equal representation.

A certain number of fellowships are intended for candidatures of pre- andteachers, teacher educators and trainers from the ten (10) CFIT countriesan Advanced Teacher Training Programme at the East China Normal U

The annexes to this letter provide detailed information concerning ibequalifications, the facilities offered, the general conditions governingfellowships as well as the procedure for the submission of applh

We would be most grateful if you could address the candidatures toMr Stoyan Bantchev, Chief of the Participation Programme and(UNESCO, 7 Place de Fontenoy - 75352 Paris 07 SP, France), by 20 Mathe latest. An advance copy must be sent by e-mail to: s.bant heyLndobo@unesco.org and v.lopy@unesco.org.

Yours sincerejy,

cc: Permanent Delegation of the People's Republic of China to UNESCOUNESCO Field Offices (of invited countries)

Enclosures: Annexes I and II - Application form

of the

shipsPeopli s

6-2017

certain

is a:

iti. fj )n

S. Given

wice

i i pursue

, quis te

award of

i in tii ii

Seel

y 2016 at

Paqe2c!6

ANNEX

UNESCO/PEOPLE'S REPUBLIC OF CHINA - THE GREAT WALL

CO-SPONSORED FELLOWSHIPS PROGRAMME

Sept 2016-June 2017

Member States invited to submit applications

AFRICA - 46 Member States

ANGOLA

BENIN

BOTSWANA

BURKINA FASO

BURUNDI

CAMEROON

CABO VERDE

CENTRAL AFRICAN REPUBLICCHAD

COMOROS

CONGOCOTE DWOIRE

DEMOCRATIC REPUBLIC OF THE CONGODJIBOUTI

EQUATORIAL GUINEAERITREA

ETHIOPIA

GABON

GAMBIA

GHANA

GUINEA

GUINEA-BISSAUKENYA

LESOTHOLIBERA

MADAGASCARMALAWI

MALJ

MAURITIUSMOZAMBIQU!NAMIBIA

NIGER

NIGERIA

RWANDA

SAO TOME AND PRINCIPESENEGAL

SEYCHEf:SIERRA LEONESOMALIASOUTH AFRICA

SWAZILAND

TOGO

UGANDA

UNITED REF

ZAMBIA

ZIMBABWE

JBLICOF TAMZAK A

ASIA AND THE PACIFIC - 39 Member States

BANGLADESHBHUTAN

CAMBODIA

COOK ISLANDS

DEMOCRATIC PEOPLE' S REPUBLIC OF KOREAFIJI

INDIA

INDONESIA

IRAN (ISLAMIC REPUBLIC OF)KAZAKHSTAN

KIRIBATI

KYRGYZSTAN

LAO PEOPLE'S DEMOCRATIC REPUBLICMALAYSIA

MALDIVES

MARSHALL ISLANDSMICRONESIA (FEDERATED STATES OF)MONGOLIA

MYAMAR

NAURU

NEPAL

NlUE

PALAU

PAKISTAN

PAPUA NEW GUiNEA

PHILIPPINESREPUB

SAMOA

SOLOMON S

SRI LANKATAJIKISTAN

THAILAND

TIMOR LESTE

TONGA

TURKMENISTUVALU

UZBEKISTAN

VANUATUVIET NAM

JC OF KOREA

•\N

',ige 2 ' 6

ANNE <

UNESCO/PEOPLE'S REPUBLIC OF CHINA-THE GREAT WAL!

CO- SPONSORED FELLOWSHIPS PROGRAMME

Sept 2016-June 2017

Member States invited to submit applications

AFRICA - 46 Member States

ANGOLA

BENIN

BOTSWANA

BURKINA FASO

BURUNDI

CAMEROON

CABO VERDE

CENTRAL AFRICAN REPUBLICCHAD

COMOROS

CONGO

COTE D'lVOlRE

DEMOCRATIC REPUBLIC OF THE CONGO

DJIBOUTI

EQUATORIAL GUINEA

ERITREA

ETHIOPIA

GABON

GAMBIA

GHANA

GUINEA

GUINEA-BISSAU

KENYA

LESOTHO

LIBERIA

MADAGA: i

MALAWI

MALI

MAURITIUS

MOZAMB-

NAMIBIA

NIGER

NIGERIA

RWANDA

SAO TOME AND PRINCIPESENEGAL

SEYCHELLESSIERRA LI

SOMALIA

SOUTH AFR CA

SWAZILAITOGO

UGANDA

UNITED REI

ZAMBIA

ZIMBABWE

C Of LANZAL

ASIA AND THE PACIFIC - 39 Member States

BANGLADESH

BHUTAN

CAMBODIA

COOK ISLANDS

DEMOCRATIC PEOPLE' S REPUBLIC OF KOREAFIJI

INDIA

INDONESIA

IRAN (ISLAMIC REPUBLIC OF)KAZAKHSTAN

KIRIBATI

KYRGYZSTAN

LAO PEOPLE'S DEMOCRATIC REPUBLICMALAYSIA

MALDIVES

MARSHALL ISLANDS

MICRONESIA (Federated State of)MONGOLIA

MYAMAR

NAURUNEPAL

NIUE

PALAO X <

PAKISTAN

PAPUAN: v.-

PHILIPPINI

REPUBLIC OfSAMOA

SOLOMON ISLANDSSRI LANKA

TAJIKISTAN

THAI! AND

TIMOR LESTETONGA

TURKMEN

TUVALU

UZBEKISTAN

VANUATU

VIET NAM

/

•IE A

)REA

'•'age 3

ARAB STATES -13 Member States

ALGERIA

EGYPT

IRAQ

JORDAN

LEBANON

LIBYIA

MAURITANIA

MOROCCO

PALESTINESUDAN

SYRIAN ARAB ! PUBLICTUNISIA

YEMEN

LATIN AMERICA AND THE CARIBBEAN - 26 Member State-,

ARGENTINA

BELIZE

BOLIVIA

BRAZIL

COLOMBIA

COSTA RICA

CUBA

DOMINICA

DOMINICAN REPUBLIC

ECUADOR

EL SALVADOR

GRENADA

GUATEMALA

GUYANA

HALL

HONDURASJAMAICA

MEXICO

NICARAGUA

PANAMA

PARAGUAY

PERU

SAINT LUCIA

SAINT VINCEN AND THEGRENADINES

SUR NAME

VENEZUELA

EUROPE AND NORTH AMERICA - 12 Member States

ALBANIA

ARMENIA

AZERBAIJAN

BELARUS

BOSNIA AND HERZEGOVINAGEORGIA

REPUBLIC Ol

THEFORfvREPUBLK

MONTENEGRf

POLAND

SERBIA

UKRAINE

OS;.AV

M E SONIA

age 4 i f i

ANNEX II

UNESCO/PEOPLE'S REPUBLIC OF CHINA (THE GREAT WALL)

CO-SPONSORED FELLOWSHIPS PROGRAMME 2016-2017

With a view to promoting international exchanges in the field of educatio i, culture,communication, science and technology, and to enhancing friendship among peop es of theworld, the Governmentof the People's Republic ofChina has placed at the dispc IJNESCOfor the academic year 2016-2017, under the co-sponsorship of UNESCO, seventy-five (75)fellowships for advanced studies at undergraduate and postgraduate levels. The; •• uwshipsare for the benefit of developing Member States in Africa, Asia-Pacific, Latin America . irope mdArab region (see Annex I),

The fellowships, tenable at a selected number of Chinese universities, are . i jura ionof one year. These fellowships, which are in most cases to be conducted in Englis e offeredto senior advanced students wishing to pursue higher studies or intending u undertakeindividual research with periodic guidance from the assigned supervisor. In exceptional cases,candidates may be required to study Chinese language beforetaking up research, study in theirfields of interest, See h www.campuschina.org/scholarshipdr

FIELDS OF PROPOSED STUDIES AT SELECTED UNIVERSITIES

Please visit the official web page of China Scholarship Council (CSC) a the fieldsof proposed studies at the selected Chinese universities:

http://www.cscedu.cn/laihua/universityen.aspx

B. QUALIFICATIONS REQUIRED

(i) Be under 45 and holdat least the Bachelor's Degree or the equivalent, or theMaster Degree/above when applying;

(ii) English proficiency is required;(iii) Be not more than 45 years of age; and(iv) Be in good health, both physically and mentally.

C. PROCEDURE FOR THE SUBMISSION OF APPLICATIONS

All applications should be endorsed by the relevant Government body (theNational Commission or Permanent Delegation) and must be prepared n Englishwith the following attachments:

(i) Application forms* for China/UNESCO The Great Wall FellowsComplete the online application procedure at CSC Online Application Systemfor International Students at: http://www.csc.edu.cn :../ .(Agency number 00001) and.h.ttB.://www.unesco.orq/new/en/feHowshiDs/oroqrammc-. ie.screpubiic-of-china-the-qreat-wall-co-sponsored-fellows: i :

(ii) 3 photographs;

(iii) Notarized photocopies of diplomas and certificates, and school certifiedtranscripts of complete academic records (translated in ish whenapplicable);

(iv) Pre-admission Letter from designated Chinese university (if avail;

(v) Two letters of recommendation (in English) by professors oi a sociatesfamiliar with the work of the candidate;

n) A study or research proposal containing no less than 400 words (i iof the post-graduate study to be undertaken during the candic.

Pago 5(6

(vii) Foreigner Physical Examination form to be completed, stan ped and orsigned; and

(viii) English language proficiency certificate stamped and/or signed

•When completing the form, each candidate is requested to specify 3 possil ill ; instisu ionsin China indicating one field of study as personal preference. Applicants mav wis to visi theweb page of China Scholarship Council (http://en.csc.edu.cn/): select the 3Ui..i. - China tabon the top of the page and refer to the universities for details on the selected ho stil iti

D, SUBMISSION OF CANDIDATURES

Letters of nomination and originals ofthe applications should be address luplicateto Mr Stoyan Bantchev, Chief of the Participation Programme and Fellow7 Place de Fontenoy, 75352 Paris 07 SP, France and reach UNESCO mi| ily by20 May at the latest. An advance copy of the application together with ail uocunshould be send as earlier as possible by email to sJdj tcjLndobo@unesco.org and v.lopv@unesco.org),

Files which are not complete or which are received after the above deadline, is well ascandidates who do not fulfill the above-mentioned requirements, will not be taken intoconsideration.

E. SELECTION OF BENEFICIARIES

UNESCO and the Chinese authorities will select the seventy-five (75) mo; qualifiedcandidates. The National Commissions of the selected fellows will be duly ntormed byUNESCO.

Candidates not informed of their selection by 31 July 2016should consider that their applications have not been approved

F. FACILITIES OFFERED BY THE GOVERNMENT OF THE PEOPLE'SREPUBLIC OF CHINA

(i) A monthly living allowance of CNY 3,000 for general scholars oi CNY3,500 forsenior scholars will be granted covering meals and pocketexpenses;

(ii) Tuition waver;

(iii) Accommodation: free university dormitory or accommodatior s jbsidy: ifthe host university requires students to live on campus, the u rsity willaccommodate scholarship students in university dormitory (usually twinroom); if the host university permits students to live off campus, theuniversity will provide monthly / quarterly accommodation subsidy:undergraduate students / master's students / general scholars CNY 700per month; doctoral students/senior scholars: CNY 1000 per month.

(iv) Comprehensive Medical Insurance** and Protection Scheme for ntt rnatio lalStudents in China.

"Students are to cover a certain percentage of expense. Claim for compensation wit! • < i »payment receipts may be asked from the insurance company according to the stipu n urai cearticles. The individual claim will not be accepted by the insurancecompany.

Page 61 ;S

G. FACILITIES OFFERED BY UNESCO

(i) One round trip International travel to and from China:

(ii) A monthly pocket allowance of USD 150 (one hundred and fifty USdollars)

(iii) A termination allowance of USD 200 (two hundred US dolla ;. to coverexcess luggage charges at time of fellows' return to the: hon leCountry, in addition to the living allowance granted by the Gen en : •People's Republic of China,

Important: Noallowance to finance or lodge marriedcouples or family mwill be granted.

Note: It is the National authorities' responsibility to ensure that allcandidates are duly informed of all the above-mentioned conditionsbefore the submission of applications for the fellowships

#CHINA SCHOLARSHIP COUNCIL

'I'll ft$^„_:fcffi 9 % A3-13 100044No.9A3-13 chegongzhuang Street, Beijing

P.R.China 100044.

Tel: 0086-10-66093900 E-mail: iaihua@csaedu.cnF;ix:00S6-10-66093915 Http://www.csc.edu.cn

m IsIcJw-nr CSC NO.

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2.

3.

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APPLICATION FORM FOR CHINESE GOVERNMENT SCHOLARSHIP

Please read carefully the important notes on the last page before filling out the form. Please complete the foiform is not filled in on PC, please write legibly in black or blue ink. Please indicate with 'X' in the blankfollow the notes will tie invalid.

1. HHhAtSiJii/Personal Information:

I^JHffl-g/Passport Name:

Mi/Family Name:

tj/Given Name:

HH/Nationality: &'M '4 Pi/Passport No.: „__

Iii4- EUR/Date of Birth: HVYear /"J/Month _B/Day

!:li _feJ&/S/Place of Birth: |il ^/Country:. Mrb/Cttv:

ii in ('hu'i

. ilOSi i .

m:\i-- i il the

i ins .„.. do not

K/Male: _] ic/Femalc: D Btj/Marrted: D £$gf/Singles • ft_/Othei

#in/Native Language: 'MS/Religion:

n

2.

^iTii^Jftii/Present Address:

ifeinVlel: _______ ft ft/Fax:.

/KXilfHitJ±/Permanent Address:

SftWf?l<5_/Education Background;

Institutions Years Attended

(from/to)

T.f1:"__!ft/EmpIoyment Record:XfWft fclhrt+fajEmployer Time (from/to)

E-mail:

Fields of Study

Work Engaged

Certificate- i ih! lined or

;iin

1! - i ICill

4. i# ai!_ Ij/Language Proficiency:a).yCiir/Chinese: IRSf/Excel lent: D ff/Good: D K^/Fair: D It/Poor: D ^„:N>«.L. IJ

HSK ^A^m^&ifc^mitti^i&fkiW Level of HSK test or other certificates winch can shov your

Chinese level:

b),5*l iff/English: W/Excellenb D ff/Good: D St$?/Fairs • If/Poor: • f-/; •ftf^$iS*frt]'Wffl^i|ff:^l/i can be taught in English: Ji/Yes D A/No L!

c).%i&ig-e/Other Languages:

5. A^AA vtliU/Proposed Study in China;a).^#_t/Bachelor's Degree Candidate.- • JXIwiftlf ^./Chinese Language bluden

$f±§i ^/Master's Degree Candidate: D AMiftlfA/General Scholar]f(¥:t-fF5f-_L/Doctor,s Degree Candidate: D ilAiKitftitVSenior Scholar:

bJ.^if^^^'jy^^k^ff^^-S/Subjeci orField ofStudy in China:c).$iWI. a ./Preferences of Institutions of Higher Education inChina:

1. II. III.

rd).#»i|. t'>lk'5&AlH-j|H]/Duration ofthe Major Study:

ll/From: %7Year )./Month S/Tos ^/Year ____ i \

e)./_iS'SfSlh-JiXin/Do You Need Elementary Chinese Study prior to the Major Study.'Jt/Yes: • i^ijAAPiwAifAI'AIfffiiJ <Art'ftA*^AHtlHlrt) / If 'Yes\ please in< kau i .. duration of

your elementary Chinese sludy(not included in the length of the major Muds).

iAFroni: AVYear H/Month iVTb: %-/Ycar_ I-'Month

If/No: D

6. Mt^^^'B^fU&WMrHff ( hI RPfJift)/Please Describe the Details ofyour Study orR.-; ,-i Plan in China(an extra paper can be attached if this space is not enough):

7. tflAff'j Al£'AAik:A\ fif\i AiAm/Aeademic Papers, Writing &Art Works Published:

8, $ i| %•? .„^#J/SchoIarshipApplied:

A. A!i^A:fe/FuIl Scholarship: DB. WA^lte/Partial Scholarship:

f^/Tuition:D {£?§ft/Accommodation:D Afrit/Medical Care: D fj.M^/Learning VI enais:

9. ffi#tJr}riffHniItai#^#^«]!JL^«Kt A/Please Specify the Organization or Person Kceu;nnu i.ding ; m lotthis Scholarship:

10. H" it ATh^lC&KIIAsKftft/The Guarantor Charging Your Case in China:

£$Wame: | ffeiS/Tel: (A hax:

IftM'./Address:

1i. fHitXBciS !.ff__#^>Mft$VHave you ever Studied or Worked in China?

Tei/Yes.-D # A^fi:i(R-¥-f_/Institution or Employer:

_E^H<tfS)/Time in China: „/From:^/Year i./Month 21/To:#:/YearA/No:D

12. Ffr iff A^lSfff(.i/Pamily Members of the Applicants:& „ A _#

Name Age In I i n

ffifS/Spouse:

AA/Father: _____________

A A/Mother:

*

ffiffittUWUift&MMffi&WM 'X' feBJ)/Materials Attached (Please Indicate with ' \ in the Bracket.):D if? iii.! ( -jAi^jffj- ) /Application Form (in duplicate).• jsj.) i(j- RC/Two Letters of Recommendation.

Q ii C!m AiAAArtuSAAMftl TS/'Admission Letter or Admission Notice of Chinese Universitiesn A'yJi'r/>r/jijkA'»i^!|i|' , r - -, jtW#) manscriptsorthe Most Advanced Studies (Notarized PI, ops)D AAJApAAtllrKfi^ft (fl.VuF., AW _}) /Diploma of the Most Advanced Studies (Notarized Ph. . . •

AfABachelors D pi/Master's D if±/Doctor's Ci ItA/Others LJ• -'>|-;o VAftAfiiSA (fiCfifti / Foreigner Physical Examination Form (Photocopy).D *A V- -'J ir W/Study Planin China.D f*i J. Aift'j iC v *./ Articles or PapersWritten or Published.• «^#'™(*AffrSi*ItAm nA (ASA A A AAAA?A;jAAS ft) (RBWAISAfl ;", C ' i'. •'.: ') i nples

of Art (6 color pictures) and Music (i audio tape) Work (Only for the applicants applying ior Fine Ans ant vbi-

D tCtiPf-IA (itfll-B) /'Other Attachments (List Needed):

„i Af&cf'i/.At«i^^«aa20C. r(,i4fSil;li|A4f.CEach set of the complete materials should not exceed 20 pages. Please use DIN A4.AtfefpiSASWBSADX. hiiAC/AJAA DMA.Whetherthe candidatesare acceptedor not, all the application materialswill not be returned.

#ftAfiHE/l HerebyAffirm That:1. 4N/iAl!'A«',1n.rtAff{ePA<J-tifi.!fsC£iK;

All information and materials given in -his form are true and correct.

2. tiAJWlril. if'M'WH-AFA A A ^AiArfALWAAl AftAftA ^AAAAA-'J 9 fr? A' CCDuring my stay in China, ! shall abide by the laws and decrees of the Chinesegovernment, and will no' parm n-v acib i ie- inChina whichare deemed to be adverse to thesocial order of Chinaandare inappropriate to thecapneih a<- a suj Ie .:

3. A^inW^CSCliff$AMIti$KAflA3 «?_, fl9AAiSAAAAfil:iAAC>li:;1will agree to the arrangements of my institution and specialtyof study in China made by CSC, and svid n. i ipph ai - , >-r-v- inthese two fields without valid reasons.

4. AAffil'Hl. jSA'AAi-KX^ „_.«, '.- ',1. ,1 J CI > \ Cku- fflDuring my study in China, 1shall abide the rules and regulations of the host university, and concentrate on nn *-i Ii and r<•••• arches,and follow the leaching programs arranged by the university.

5. mm-a% A'Asrwat-aaaiA:! shall go through the procedures of the Annual Review of Chinese Government Scholarship Status as re<| iii

6. aajawkaaaa. liiiiiia, *"£&&£»„.1 shall return to my home country as soon as 1 complete my scheduled program in China, and will not c-xiei ) i '.\ "- saiidreasons.

?. spj_is±a.i»_ws#!j,'M'Hi-_#, iiwrnmi- *m$jm>&, ws.m^i'p\nmw:iSi7-^^%-nic-'A - . ^

If 1 am judged by the Chinese laws and decrees and the rules and regulations of the university as hasing violav. i-t ih .,• Iwill not lodge any appeal against the decisionof CSC on suspending,or withdrawingmy scholarship, oi lit! r | r;-n

^ifA__^/Signature of the Applicant: B$j/DaU<:(5€lfc_£t> *¥WMWl'h* application is invalid without the applicant's signature)

GUIDELINES FOR FILLING IN 1HIS FORM (NUMBERS REFERRING TO THE VARIOUS BUM KM

Personal information about the applicant must be filled in truly and correctly.

2. imtii^^AiJM-Zi&mm^&tfi^m^ifi, taia+A. m±%cn'&&*&&&m, mm 11

Please provide the following information for all completed secondary, vocational, technical, undcrg adu. . nui ;ntraining and qualifications. Any incomplete courses should also be listed. One notarized cops ot youcertificates and notarized copies of English translations of your highest education must be included with etu i

3. Wfl_*t*A»_&*»^K-_TM_fr-.Please clarify your work experiences and you current post.

4. AAA«««Ao\AWi§AWi£. WfA#*Jgft«g£#,R«i*i»###_S. WBttfiC-' 'Please state your knowledge of languages, especially Chinese and English. If you have passed a language ic-a.copy of the results in your application materials. This is very important because il will decide your leas line I - ;.. . ir l hin i,

5. iiS4iiff/y{44^«A''r<AffAAfifi!iA-,JH-:liC CSC WftflAA-iflSLThe applicant will choose the detailed information concerning his study in China according to I eiti : his u-llCSC is entitled to make any necessary adjustment according to the applicant's preferences.

a. immpm&*-*?]$•%»!•Please choose what level of study you want to be engaged in in China.

Please specify your subject or field of study in China.

e. uAA5/2MMfifiuAA7AAAuAAA^ Ai! .• ! . ' mS#___«LJfi»i IvhW.uAA MrPAbiSttfeM fSURftft A «„*»ttgEp#,Please choose three preferences of Chinese institutions among the Chinese universities which can u. :\< e. IGovernment Scholarship students and list them in the blanks here. The final arrangement of institution Is a hject to theadjustmentof CSC svith your choices as references, if you have been accepted by a Chinese university pie - . h the c v-of their admission notice to your application materials.

d. m m " 'f'lH'jii,-. mDuration of the major study applied in China,

e. AiA'SAtATLSAiSBA^A/iA ffi&m*gt^mft%$KmE.®&&tyUWfott: ,,.'. - ., i

Since the teaching language of Chinese universities is Chinese, il*s very important for you to tell i- in ll s... i I., tin onneed elementary Chinese study prior to your major study or not. If ""Yes", please indicate the duration.. I 11 i ir.: •-<. .i ids(not included in the length of major studs)

wmmmifs aha, ^mm:Please illustrate the subject of your research or the main content of your study, you can also givt imc < • i in; want toattend in China. It is crucial for the university to decideyour major and arrange the professor for sou

7. ftM_$iftAt£2fUlttifttt9tttti%£< SFffe. ££.Please list here your academic papers, writing and artwork published or written, if any,

8. ^IMftJff'K^feftAAAA^flinv^^AfepjW. i»i_j##*iift. #,Choose theScholarship you applied between the twooffered by Chinese government full scholarship oi [>,; la;-.hip.

9. w&mwAmmmm.The person or organization that recommend you for this scholarship.

10. ^Jm^AiSMmm, AfAAM,fi.Afi^AAAA Afffl.AJ«AThe guarantors charging your case in China, we will contact them for your case svhen necessary.

u. »**_._+•*:_ atEffcii, IS»Jjii»:_i|sW#3j|_tt_ftift*_.If you had ever been to China for study or work, please specify your institution, employer and time in i hina

12. +";,', Lf.'-tSlfjt^A'-Genera! information about the applicant's family members.

Name

ft m a it t# it __ *FOREIGNER PHYSICAL EXAMINATION FORM

Sex

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;&~ Female

_t!4B88

Birthday

Present mailing address

Nationality

(or Area)

Birth

place

Blood type

ai-MiA/iw fmmffi- mm%m®®® "§" $ "jrHave you ever had any of the following diseases?

(Each item must be answered "Yes" or "No")

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Do you have any of the following diseases or disorders endangering the public ortlei and - \i rits .

(Each item must be answered "Yes" or "No")

f$WM Toxicomania \

IflM'toSt Mental confusion * .'. N.

lifllNs Psychosis: W$iM. Manic paychosis N

£ fli_8 Paranoid psychosis* * ••• • N.

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AIDS, Syphilis etc)

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Suggestion Official Stamp

El*** U-WiSign ature of physic ian Date

--SSSSSSSfe*,United Nations Educational, Scientific and Cultural Organization

7, place de Fontenoy, 7S352 Paris 07 SPtelephone: (33.1) 45.68.10.00

APPLICATION FOR FELLOWSHIP

CERTIFICATE OF LANGUAGE KNOWLEDGE

Address of candidate,.

(1) ABILITY TO UNDERSTAND

(a) Understands without difficulty when addressed at normal rate

(b) Understands almost everything, if addressed slowly and carefully

(c) Requires frequent repetition and/or translation of words and phrases

(d) Does not understand spoken language

i?) ABILITY TO SPEAK

(a) Speaks fluently and accurately and is easily intelligible

(b) Speaks intelligibly, but is not fluent or altogether accurate

(c) Speaks haltingly, and is often at a loss for words and phrases.,

(3) ABILITY TO WRITE

(4)

(5)

(a) Writes with ease and accurately.

(b) Writes slowly and/or with only a moderate degree ot accuracy..

(c) Writes with difficulty and makes frequent mistakes

READING ABILITY AND COMPREHENSION

(a) Reads fluently, with full comprehension

(b) Reads slowly, but understands almost everything he reads

(c) Reads with difficulty, and only with frequent recourse to the dictionary.

(d) Cannot read

TECHNICAL LANGUAGE

Certain fellowships require a particular knowledge of specialized or technical language, in such cases,

please evaluate candidate's ability with reference to paras. 1, 2, and 4 above.

(6) Please indicate any further facts about candidate's language knowledge which may be of value in the

development ot his programme:

LANGUAGE TEST HAS BEEN MADE BY

Name:

Title:

COMMENTS:

IMP/0027 (x.9S)

Address:..

Date:

SENARAI EDARAN DALAMAN

1. YBhg. Dato' Prof. Dr. Asma Binti IsmailKetua Pengarah Pendidikan TinggiJabatan Pendidikan TinggiKementerian Pendidikan Tinggi MalaysiaAras 9, No.2, Menara 2, Jalan P5/6, Presint 562200 PUTRAJAYA

No. Tel 03-8870 6381No. Faks 03-8870 6840

2. YBhg. Datuk Hj Mohlis Bin JaafarKetua PengarahJabatan Pengajian PoliteknikPejabat Ketua PengarahAras 5, Galeria PjH, Jalan P4wPersiaran Perdana, Presint 462100 W.P. PUTRAJAYA

No. Tel 03-8891 9008No. Faks 03-8891 9301

3. YBhg. Dato' Amir bin Md. NoorKetua PengarahJabatan Pengajian Kolej KomunitiPejabat Ketua PengarahAras 7, Galeria PjH, Jalan P4WPersiaran Perdana, Presint 462100 W.P. PUTRAJAYA

No. Tel 03-8888 7800No. Faks 03-8888 2700

4. YBhg. Datin Paduka Ir. Dr. Siti Hamisah Binti TapsirTimbalan Ketua Pengarah (IPTA)Jabatan Pendidikan TinggiKementerian Pendidikan Tinggi MalaysiaAras 9, No.2, Menara 2, Jalan P5/6, Presint 5,62200 W.P. PUTRAJAYA

No. Tel 03-8870 6391

No. Faks 03-8870 6841

5. YBhg. Datuk Prof. Dr. Roziah Binti OmarTimbalan Ketua Pengarah (IPTS)Jabatan Pendidikan TinggiKementerian Pendidikan Tinggi MalaysiaAras 9, No.2, Menara 2, Jalan P5/6, Presint 562200 W.P. PUTRAJAYA

No. Tel 03-8870 6401No. Faks 03-8870 6842

6. Encik Ahmad Nazri Bin Sulaiman

Setiausaha BahagianBahagian Perancangan Penyelidikan dan Penyelarasan DasarKementerian Pendidikan Tinggi MalaysiaAras 13, No.2, Menara 2, Jalan P5/6, Presint 562200 W.P. PUTRAJAYANo. Tel 03-8870 5081No. Tel 03-8870 6810

7. YBhg. Datuk Prof Dr Rujhan MustafaKetua Pegawai EksekutifAgensi Kelayakan MalaysiaTingkat 14B, Menara PKNS-PJ17, Jalan Yong Shook Lin46050 Petaling JayaSelangor Darul EhsanNo. Tel 03-7956 9162

8. YBrs. Professor Dr. Mohd Majid bin KontingPengarahAkademi Kepimpinan Pengajian Tinggi (AKEPT)Sektor Pengajian TinggiLebuh Enstek, Bandar Enstek71760 Negeri SembilanNo. Tel 06-7997 169

No. Faks 06-7997440

SENARAI NAIB CANSELOR /REKTOR IPTA

YBhg. Dato' Prof. Dr. Mohd Amin bin JalaludinPejabat Naib CanselorBangunan Naib CanselorUniversiti Malaya50603 KUALA LUMPUR

No. Tel

No. Faks

Emel

03-7967 3510/3212

03-7954 7551

aminj@um.edu.myvc@um.edu.myzaitunm@um.edu.my

YBhg. Prof. Dato' Dr. Omar bin OsmanNaib Canselor

Universiti Sains MalaysiaAras 6, Bangunan Canselori11800 PULAUPINANG

No. Tel

No. Faks

Emel

04-653 3101

04-656 5401 / 656 6699

omar_o@usm.myvc@usm.mynorzalinah@usm.my

YBhg. Datuk Prof. Dr. Noor Azian bin GhazaliNaib Canselor

Universiti Kebangsaan MalaysiaAras 6, Bangunan Canselori43600 BangiSELANGOR

No. Tel. : 03-8921 3218

No. Faks. : 03-8921 4242

Emel : ncukm@ukm.mysuncukm@ukm.edu.my

YBhg. Prof. Datin Paduka Dr. Aini Binti IderisNaib Canselor

Universiti Putra Malaysia43400 SerdangSELANGOR

No. Tel. :03-8946 6001 /6002

No. Faks. :03-8948 3244

Emel : nc@upm.myella@upm.edu.my

YBhg. Prof. Datuk Ir. Dr. Wahid Bin OmarNaib Canselor

Universiti Teknologi MalaysiaBangunan Canseleri Sultan Ibrahim81310 Skudai

JOHOR

No. Tel.

No. Faks.

Emel

07-553 0001 / 0000

07-557 9376

drwahid@utm.myvicechancellor@utm. mypanc@utm.my

YBhg. Prof. Dato' Sri Dr. Zaieha bintiKamaruddin

Rektor

Universiti Islam Antarabangsa MalaysiaAras 4, Bangunan RektorKampus Gombak53100 SELANGOR

No. Tel

No. Faks

Emel

03-6196 4002

03-6196 4858/6196 4005

drzaleha@iium.edu.myrasheeda@iium.edu. my

YBhg. Prof. Dato' Seri Dr. Mohamed Mustafabin Ishak

Naib Canselor

Universiti Utara MalaysiaAras 5, Bangunan Canselori06010 Sintok

KEDAH

No. Tel

No. Faks

Emel

04-928 3001

04-928 3005/3019

mustafa@uum.edu.mynorazlina@uum.edu.my

YBhg. Prof. Dato' Dr. Mohamad Kadim binSuaidi

Naib Canselor

Universiti Malaysia SarawakPenthouse, Bangunan CAUH Kampus Barat94300 Kota Samarahan

SARAWAK

No. Tel. : 082-58 1112/1047

No. Faks. : 082-66 5111

Emel : kadim@unimas.myirene@unimas.my

YBhg. Prof. Datuk Dr. Mohd. Harun binAbdullah

Naib Canselor

Universiti Malaysia SabahAras 6, Bangunan Canselori, Blok SelatanJalan UMS

88400 Kota Kinabalu

SABAH

No. Tel.

No. Faks.

Emel

088-32 0203/48 8998/1401

088-44 8998

pavcums@ums.edu. mynatasha@ums.edu.my

YBhg. Prof. Dato' Dr. Zakaria bin KasaNaib Canselor

Universiti Pendidikan Sultan Idris

35900 Tanjung MalimPERAK

No. Tel.

No. Faks.

Emel

05-450 6777

05-450 6777

zakaria@upsi.edu. myraudah@upsi.edu.my

YBhg. Prof. Dato' Dr. Musa AhmadNaib Canselor

Universiti Sains Islam MalaysiaBandar Baru Nilai

71800 Nilai

NEGERI SEMBILAN

YBhg. Prof. Dato' Dr. Daing Mohd. Nasir binDaing IbrahimNaib Canselor

Universiti Malaysia PahangLebuhraya Tun Razak26300 Gambang

No. Tel. : 06-798 8013 Kuantan

No. Faks. : 06-794 1143 PAHANG

Emel : nc@usim.edu.my No. Tel. : 09-549 2602 / 2002

su.nc@usim.edu.my No. Faks. : 09-549 2222/3189

Emel : daing@ump.edu.mynooraziah@ump.edu.my

YBhg. Prof. Emeritus Datuk Dr Hassan Bin SaidNaib Canselor

Universiti Teknologi MARAAras 6, Canseleri Tuanku Syed Sirajuddin40450 Shah Alam

SELANGOR

No. Tel. : 03-5544 2001

No. Faks. : 03-5544 2222Emel : hassan@salam.uitm.edu.my

nurha700@salam.uitm.edu.my

YBhg. Prof. Dato' Dr. Nor Aieni binti HajiMokhtar

Naib Canselor

Universiti Malaysia Terengganu21030 Kuala TerengganuTERENGGANU.

No. Tel. : 09-668 4102

No. Faks. : 09-669 4102

Emel : noraieni@umt.edu.mync@umt.edu.myadilla@umt.edu.my

YBhg. Prof. Datuk Dr. Mohd. Noh bin DaliminNaib Canselor

Universiti Tun Hussein Onn Malaysia86400 Parit RajaBatu Pahat

JOHOR

No. Tel. : 07-453 7005 / 7001No. Faks. : 07-453 6010

Emel : noh@uthm.edu.myhaniza@uthm.edu.my

YBrs. Prof. Dr. Shahrin bin Sahib@SahibuddinNaib Canselor

Universiti Teknikal Malaysia MelakaHang Tuah Jaya76100 Durian TunggalMELAKA

No. Tel.

No. Faks.

Emel

06-555 2008/2001

06-331 6111

shahrinsahib@utem.edu.mynuraida@utem.edu.my

YBhg. Brig. Jen. Datuk Prof. Emeritus Dr.Kamarudin bin Hussin

Naib Canselor

Universiti Malaysia PedisTingkat 11, Bangunan KWSPJalan Bukit Lagi01000 KangarPERLIS

No. Tel. : 04-977 8000

No. Faks. : 04-979 8000Emel : kamarudin@unimap.edu.my

vc@unimap.edu.myidayu@unimap.edu.myfairuzfauzi@unimap.edu.my

YBhg. Prof. Dato' Dr. Ahmad Zubaidi BinAbdul Latif

Naib Canselor

Universiti Sultan Zainal Abidin

Kampus Gong Badak21300 Kuala TerengganuTERENGGANU

No. Tel. : 09-668 8890/8891

No. Faks. : 09-668 7887

Emel : vc@unisza.edu.myatiasabirah@unisza.edu.my

YBhg. Prof. Dato' Dr. Mortaza bin MohamedNaib Canselor

Universiti Malaysia KelantanKarung Berkunci 3616100 Pengkalan ChepaKota Bharu

KELANTAN

No. Tel. : 09-771 7007

No. Faks. : 09-771 7006

Emel : nc@umk.edu.myfarah@umk.edu.my

YBhg. Jen. Tan Sri Dato' Panglima Hj. Zulkiflibin Hj. Zainal AbidinNaib Canselor

Universiti Pertahanan Nasional Malaysia57000 Kern Sungai BesiKUALA LUMPUR

No. Tel.

No. Faks.

Emel

03-9051 3457

03-9057 4361

nc@upnm.edu.mysh.fasha@upnm.edu.my

SENARAI TIMBALAN NAIB CANSELOR/REKTOR(AKADEMIK DAN ANTARABANGSA)

YBrs. Prof Dr Awang Bulgiba bin AwangMahmud

Timbalan Naib Canselor

(Akademik dan Antarabangsa)Universiti MalayaLembah Pantai

50603 KUALA LUMPUR

YBrs. Prof. Dr. Torla bin Hj HassanTimbalan Rektor

(Akademik dan Antarabangsa)Universiti Islam Antarabangsa MalaysiaAras 4, Bangunan RektorKampus Gombak53100 SELANGOR

No. Tel : 03-7967 3203 No. Tel : 03-6196 4018

No. Faks : 03-7957 2314 No. Faks : 03-6196 4867

Emel : tnc_aka@um.edu.my Emel : torla@iium.edu.myjaym@um.edu.my maria@iium.edu.my

YBhg. Prof. Dato' Dr. Ahmad Shukri Mustapa YBrs. Prof. Dr. Hassan bin AM

Kamal Timbalan Naib Canselor

Timbalan Naib Canselor (Akademik dan Antarabangsa)(Akademik dan Antarabangsa) Universiti Utara MalaysiaAras 6, Bangunan Canselori Aras 4, Bangunan CanseloriUniversiti Sains Malaysia 06010 Sintok

11800 PULAUPINANG KEDAH

No. Tel : 04-653 3295 / 3285 No. Tel : 04-928 3011 / 3664

No. Faks : 04-656 6699 No. Faks : 04-928 3012

Emel : dvc_acad@usm.my Emel : hassan@uum.edu.myanisah_hussain@usm.my nrlina@uum.edu.my

YBhg. Prof. Dato' Ir. Dr. Riza Atiq Abdullah YBrs. Prof. Dr. Wan Hashim bin Wan Ibrahim

bin O.K. Rahmat Timbalan Naib Canselor

Timbalan Naib Canselor (Akademik dan Antarabangsa)(Akademik dan Antarabangsa) Universiti Malaysia SarawakUniversiti Kebangsaan Malaysia Aras 6, Bangunan CAUH Kampus BaratAras 6, Bangunan Canselori 94300 Kota Samarahan

43600 Bangi SARAWAK

SELANGOR No. Tel : 082-58 1223

No, Tel : 03-8925 8419 No. Faks : 082-66 5115

No. Faks : 03-8921 4241 Emel : wiwhashim@cans.unimas.myEmel : riza@eng.ukm.my arnorashikin@cans.unimas.my

tncheaa@ukm.edu.my

YBhg. Prof. Datuk Dr. Mad Nasir binShamsudin

Timbalan Naib Canselor

(Akademik dan Antarabangsa)Universiti Putra Malaysia43400 SerdangSELANGOR

No. Tel

No. Faks

Emel

03-8946 6024

03-8943 2516

mns@upm.edu.mysadsani@putra.upm.edu.my

YBrs. Prof. Dr. Rose Alinda binti Alias

Timbalan Naib Canselor

(Akademik dan Antarabangsa)Universiti Teknologi Malaysia81310 Skudai

JOHOR

No. Tel

No. Faks

Emel

07-553 0348 / 0248

07-554 7371

dvcai@utm.myalinda@utm.mypatnca@utm.my

YBrs. Prof. Dr. D Kamarudin D Mudin

Timbalan Naib Canselor

(Akademik dan Antarabangsa)Universiti Malaysia SabahAras 6, Blok Selatan, Bangunan CanseloriJalan UMS

88400 Kota Kinabalu

SABAH

No. Tel

No. Faks

Emel

088-32 0210/1408

088-44 8664

patnca@ums.edu.my

YBrs. Prof. Dr. Mohd Sahandri Gani bin

Hamzah

Timbalan Naib Canselor

(Akademik dan Antarabangsa)Universiti Pendidikan Sultan Idris

35900 Tanjong MalimPERAK

No. Tel

No. Faks

Emel

05-450 6555

05-458 3742

tncaa@upsi.edu.mysuhaila@upsi.edu.my

YBrs. Profesor Dr. Zulkiple bin Abd GhaniTimbalan Naib Canselor

(Akademik dan Antarabangsa)Universiti Sains Islam MalaysiaBandar Baru Nilai

71800 Nilai

NEGERI SEMBILAN

No. Tel

No. Faks

Emel

06-798 8015

06-799 2834

tnc.aa@usim.edu.mysu.tncaa@usim.edu.my

YBrs. Prof. Sr. Ir. Dr. Haji Suhaimi bin Abd.Talib

Timbalan Naib Canselor(Akademik dan Antarabangsa)Universiti Teknologi MARAAras 4, Canseleri Tuanku Syed Sirajuddin40450 Shah Alam

SELANGOR

No. Tel : 03-5544 2002 / 2233No. Faks : 03-5544 3510Emel : ecsuhaimi@salam.uitm.edu.my

emyfazura@salam.uitm.edu.my

YBrs. Prof. Dr. Mohd. Lokman bin HussainTimbalan Naib Canselor

(Akademik dan Antarabangsa)Universiti Malaysia Terengganu21030 Kuala TerengganuTERENGGANU

No. Tel : 09-668 4104No. Faks : 09-668 4109Emel : mlokmn@umt.edu.my

juana@uma.gov.my

YBrs. Prof. Dr. Wahid Bin RazzalyTimbalan Naib Canselor(Akademik dan Antarabangsa)Universiti Tun Hussein Onn Malaysia86400 Parit RajaBatu Pahat

JOHORNo. Tel : 07-453 7151 / 7150No. Faks : 07-453 6925Emel : tncaa@uthm.edu.my

hashim@uthm.edu.mymasturah@uthm.edu.my

YBhg. Prof. Datuk Dr. Mohd. Razali binMuhamad

Timbalan Naib Canselor(Akademik dan Antarabangsa)Universiti Teknikal Malaysia MelakaHang Tuah Jaya76100 Durian TunggalMELAKA

No. Tel : 06-555 2011No. Faks : 06-331 6112Emel : mohdrazali@utem.edu.my

noraidamn@utem.edu.my

YBhg. Prof. Dato' Dr. Rosli bin Mohd YunusTimbalan Naib Canselor

(Akademik dan Antarabangsa)Universiti Malaysia PahangLebuhraya Tun Razak26300 Gambang, KuantanPAHANG

No. Tel

No. Faks

Emel

09-549 2603

09-549 2616tnc_aa@ump.edu.mysafinaz@ump.edu.my

YBhg. Prof. Datuk Dr. Zul Azhar bin ZahidJamal

Timbalan Naib Canselor

(Akademik dan Antarabangsa)Universiti Malaysia PedisTingkat 11, Bangunan KWSPJalan Bukit Lagi01000 KangarPERLIS

No. Tel

No. Faks

Emel

04-979 8044

04-979 8099zulazhar@unimap.edu.mynoriah@unimap.edu.my

YBrs. Prof. Dr. Mahadzirah binti MohamadTimbalan Naib Canselor(Akademik &Antarabangsa)Universiti Sultan Zainal AbidinKampus Gong Badak21300 Kuala TerengganuTERENGGANU

No. Tel : 09-668 8485No. Faks : 09-668 7889Emel : ptncaa@unisza.edu.my

wankhatijah@unisza.edu.my

YBrs. Prof. Dr. Mohd. Hassan bin Mohd.Osman

Timbalan Naib Canselor(Akademik &Antarabangsa)Universiti Malaysia KelantanJabatan Canselori

Karung Berkunci 3616100 Pengkalan ChepaKota Bharu

KELANTAN

No. Tel

No.Faks

Emel

09-771 7005

09-771 7022hassan.osman@umk.edu.myhasma@umk.edu.my

YBrs. Prof. Emeritus Dr. Tengku Mohd binTengku SembokTimbalan Naib Canselor(Akademik &Antarabangsa)Universiti Pertahanan Nasional Malaysia57000 Kern Sungai BesiKUALA LUMPUR

No. Tel

No. Faks

Emel

03-9051 3421

03-9056 5411tmts@upnm.edu.myintansuraya@upnm.edu.my