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THE CHINESE UNIVERSITY OF HONG KONG
香港中文大学

University Award 2024/25
2024/25 年度大学生奖

Resume (Postgraduate)
Resume (研究生

Notes to Applicants:
申请人须知:

This form should be typed in English, unless otherwise specified, and signed. Handwritten form will NOT be accepted. If the item(s) in the form is/are not applicable, “N/A” should be marked.
除非另有说明,否则此表格应英文输入并签名。不接受手写表格。如表格内之项目不适用,应注明「N/A」。

The information gathered will be used for Scholarships/Awards-related purposes in the University. It may be accessible to offices, committees or persons involved in Scholarships/Awards matters. Records of unsuccessful applications will be destroyed when no longer required.
收集到的信息将用于大学的奖学金/奖励相关目的。参与奖学金/奖励事务的办公室、委员会或个人可以访问它。如不再需要,未成功的申请记录将被销毁。

All the data provided by the applicants should only be used for the purposes related to the award of scholarships/ bursaries. Data users must comply with the requirements of the HKSAR Personal Data (Privacy) Ordinance.
申请人提供的所有数据只能用于与颁发奖学金/助学金相关的目的。 资料使用者必须遵守香港特别行政区《个人资料(私隐)条例》的规定。

Name of Award: CUHK Convocation Postgraduate Admission Scholarships
得奖名称香港中文大学毕业典礼研究生入学奖学金

Personal Data
个人数据

Name
名字

Student ID No.
学生证号码

(In BLOCK LETTERS, SURNAME first)
(在 BLOCK 字母中,姓氏在前

(In Chinese)
.

(10 digits)
(10 位数字)

Gender

Programme of Study @
学习计划 @

Mode of Study
学习方式

Full-time / Part-time *
全职 / 兼职 *

Current Yr. of Study
当前学习年份

Yr. 1
1 年级

Expected Graduation inν
预期毕业时间 nν

/ 20

(MM/YYYY)
(MM/YYYY)

Date of
日期

Birth
出生

/ /

(DD/MM/YYYY)
(日/月/年)

Residency
居住

Nationality
国籍

Address (in HK)
地址 (香港)

Telephone
电话

E-mail Address
电子邮件地址

(CUHK) /
(香港中文大学) /

(Personal)
(个人)

@For example, MA in Music, MSSc in Clinical Psychology.
@例如,音乐硕士M 临床心理学 SSc

*Please delete whichever is inappropriate
* 请删除不适当的部分
.

νPlease follow the expected graduation date printed on your CULink card.
ν 请遵循 CULink上打印的预计毕业日期。

Educational Qualifications ^
学历 ^

Month / Year
月 / 年

Name of Institution
机构名称

Qualifications Obtained %
获得的资格百分比

1.

2.

3.

%e.g. BA in Fine Arts (First Class Honours), MPhil in Biology. Please provide copies of academic transcripts.
%例如: BA in Fine Arts (First Class Honours), MPhil in Biology.请提供成绩单复印件。

^ Please provide supporting documents.
^ 请提供证明文件。

The Most Outstanding Awards / Academic Achievements in Recent 3 Years (2021/22 – 2023/24) ^
近 3 年最杰出奖项/学术成就2021/22 – 2023/24 ^

Academic Year
学年

Name of Award
奖项名称

Amount (HK$)
金额 (HK$)

1.

2.

3.

4.

5.

^ Please provide supporting documents.
^ 请提供证明文件。

The Most Outstanding Extra-curricular Activities or Voluntary Services in Recent 3 Years (2021/22 – 2023/24) ^
近 3 年2021/22 – 2023/24最杰出课外活动或义工服务^

Year

Student Organization/Activities
学生组织/活动

Post / Contribution
帖子 / 贡献

1.

2.

3.

4.

5.

^ Please provide supporting documents.
^ 请提供证明文件。

- 2 -

Working Experience (including part-time and summer jobs) ^
工作经验 (包括兼职及暑期工作 ^

Month / Year
月 / 年

Name of Employer
雇主名称

Job Title
职称

1.

2.

3.

^ Please provide supporting documents.
^请提供证明文件。

Personal Statement
个人陈述

Please use a maximum of 500 words to elaborate how you can contribute to CUHK as a student ambassador for internationalization in terms of cultural and ethnic diversity of our student body.
请用不超过 500 字的篇幅阐述你作为学生大使,如何为中大的国际化作出贡献中大学生群体的文化和种族多元化作出贡献。

Other scholarship the candidate has been nominated for consideration / has received* (e.g. Belt and Road Scholarship, HKSAR Scholarship, etc.)
候选人已被提名考虑/已获得的其他奖学金*(例如:一带一路奖学金、香港特别行政区奖学金等)。

*Awardees may hold the scholarships concurrently with other grants, awards and scholarships.
*得奖者可同时获得奖学金及其他助学金、奖励及奖学金。

Academic Year
学年

Name of Award
奖项名称

Amount (HK$)
金额 (HK$)

1.

2.

3.

Declaration and Undertaking
声明及承诺

I hereby declare that the information provided in this form is correct and true to the best of my knowledge. I authorize the Office of Admissions and Financial Aid (OAFA) of The Chinese University of to obtain any information from other units of the University which OAFA considers necessary and relevant to the administration and assessment of my application for the captioned Award.
本人特此声明,据本人所知,本表格中提供的信息是正确和真实的。 本人授权中文大学招生及经济援助(OAFA) 从大学其他部门获取 OAFA 认为必要且与我申请上述 A病房的申请必要且相关的任何信息。

I also undertake to inform OAFA, as soon as practicable, of any awards/scholarships/prizes conferred to me for the academic year 2024/25 after submission of this form.
我还承诺提交此表格后尽快通知 O AFA 2024/25 学年授予我的任何奖项/奖学金/奖品

Signature of Applicant
申请人签名
:

Date:
日期: