中国国家留学生基金管理委员会

CSC
CHINA SCHOLARSHIP COUNCIL 中国 北京西城区车公庄大街 9 号 A3 楼 13 N
层 100044 O.
Level 13, Building A3, No.9 Chegongzhuang
派遣类别： 学生类别：
Avense Beijing
100044 P.R China 经费办法： 学习专业：
Tel:0086-10-66093900 E-mail:laihua@csc.edu.cn
Fax:0086-10-66093915 Http://www.csc.edu.cn

( The above table is only for CSC )

APPLICATION FORM FOR CHINESE GOVERNMENT

SCHOLARSHIP

Personal Information：
Agency No.
10355
Given Name
MISS
Agency Name
China Academy of Art
Gender
Marital Status Female
Single
Surname
Chinese Name AATIKAH
Date of Birth
1991-05-22
Nationality Native Language Passport No. Date of Expiration
Pakistan Urdu AS1462811 2019-04-19
Country of Birth City of Birth Religion
PAKISTAN SARGODHA ISALM

Permanent Contact Tel Permanent Contact Fax Permanent Contact E-mail arabitravel@hotmail.com
+923006009286
Permanent Contact Address
Present Contact Address House No. 2/S/45 Streer No.2 Muhallah Ansar Pura Kot Fareed Sargodha

Present Contact Tel Present Contact Fax Present Contact E-mail arabitravel@hotmail.com
+923006009286
Present Contact Address

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 Present Contact Address House No. 2/S/45 Streer No.2 Muhallah Ansar Pura Kot Fareed Sargodha

Education and Employment History：

Highest Education
Institute Name
Uni of Agriculture Fasislabad Field of Study
Years Attended Clothing and Textile
2017-10-16--2019-06-06 Qualification (eg. BA. BSc)
MSC (Hons)
Other Education Certificates Ⅰ
Years Attended Institute Name
2012-11-01 -- 2019-11-01
Uni of Sargodha Field of Study
Textile Designing
Qualification (eg. BA. BSc)
BSC(Hons)

Other Education Certificates Ⅱ

Years Attended Institute Name
--
BSC(Hons) Field of Study
Fine Art
Qualification (eg. BA. BSc)
F.A

Employment History
Employment Duration
-- Work Engaged
Employer

Title & Position

Language Proficiency and Study Plan：

Chinese Proficiency Level of Obtained HSK

None Certificate none

English Proficiency Obtained English Proficiency Certificate none

Good
Apply as Discipline Applying For
Doctor's Degree Art
Preferred Teaching Language Major Applying for
English Fashion and Textiles Design
Duration of Major Study
2019-09-07 -- 2023-11-24

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 Ever studied or worked in China?
No

Institute or Employer Employment Duration

--

Ever studied in China under a Chinese Government Scholarship?

No

Institute Name Employment Duration

--

Other Contacts：

Name of Contact Person or Organization in China Tel

E-mail Fax

Address
Present Contact Address House No. 2/S/45 Streer No.2 Muhallah Ansar Pura Kot Fareed Sargodha

Spouse's Age Spouse's Name

Spouse's Occupation
Father's Name
Muhammad Arshad

Father's Age Mother's Name

55 Father's Occupation
Mother's Age Travel agent
48
Mother's Occupation
Akbari bagum
House wife

◆ Supporting
Documents：

✓ 证件照片；

✓ Certificates of Highest Education (Notarized Copy)：

Bachelor's Degree Master's Doctor's Othe r

✓ Transcripts of Highest Education (Notarized Copy)；

✓ Study Plan；

✓ Two Recommendation Letters；

✓ Passport Home Page；

✓ Physical Examination Record for Foreigner；

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 Articles or Papers Written or Published；

✓ Examples of Art(6 color pictures)and Music(1 audio tape)Work(Only for the applicants
applying for Fine Arts and
Music)；

Other Attachments(List Needed)：

。

Note: All supporting documents uploaded must be clear scanning copies of the original
documents. Each Set of the complete materials should not exceed 20 pages ． Please
use DIN A4.
◆ I Hereby Declare That：

1. All information and supporting documentation provided for this application are complete,
true and correct；

2. During my stay in China, I shall abide by the laws and decrees of

the Chinese government, and will not participate in any activities in China which
are deemed to be adverse to the social order of China and are
inappropriate to the capacity as a student；

3. I will agree to the arrangements of my institution and specialty of study

in China made by CSC,and will not apply for any changes in these two fields
without valid reasons；

4. During my study in China, I shall abide the rules and regulations of

the host university, and concentrate on my studies and researches, and
follow the teaching programs arranged by the university；

5. I shall go through the procedures of the Annual Review of Chinese Government

Scholarship Status as required；

6. I shall return to my home country as soon as l complete my scheduled

program in China, and will not extend my stay without valid reasons；

7. If I am judged by the Chinese laws and decrees and the rules and regulations
of the universityas having violated any of the above, I will not lodge any
appeal against the decision of CSC on suspending, or withdrawing my
scholarship,or other penalties。

Serial Number: 19B78ACC38 Page 4 of 5 Generated: 2019-03-24

 Statement of Applicant

China Scholarship Council (CSC)

Thank you for using the Chinese Government Scholarship Information System. Before
proceeding, please read the terms and conditions carefully. If you do not agree
with any of the terms and conditions, you may choose not to submit
your application. You (the applicant) should be aware that by submitting this
application, you will have consented to the terms and conditions, regardless
of the application’s final result.

1. Each applicant will be issued a username and password by the CSC after
they have completed the registration process. The applicant is fully responsible
for the username and password. The applicant will be liable for activities
and events carried out under this account.

2. The applicant is fully responsible for the authenticity, legality, validity and accuracy
of all the information contained within the application. The applicants must
not impersonate others and must not include any information in the application
that does not belong to them. The applicants will be unable to edit
the application after the submission. Any false or misleading information contained
in the submitted application will negatively influence the scholarship application
and the applicant will be responsible for the corresponding consequences.

3. Each scholarship awardee cannot partake in more than one Chinese government provided
scholarship program during his/her study period in China. If an awardee is to
have breached this rule, the CSC reserves the right to cancel the scholarship
that might already have been awarded to him/her.

4. In the circumstance that the applicant is refused by all three preferred

universities of Type A application, CSC will do its best to arrange another
Chinese universityto enroll the applicant. Applicants that still can not be
admitted after this process will lose the scholarship opportunity.

5. Within each enrollment year, each applicant is allowed submit no more than five
applications, including a maximum of two Type A and three Type B
applications.

6. Terms of Privacy: User privacy is one of the CSC’s most valued principles.
The CSC will strive to protect the private information of applicants through technical,
management and other measures. Once the application is submitted, the
applicants agree that the relevant data contained in the application will be
provided to the dispatching authorities and universities, for the purposes of their
admissions and studies.

✓ I confirm that I have read and accept the CSC’s “Statement of

Applicant”.

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