山东省政府友城留学生奖学金申请表

Application Form of Shandong Provincial International Sister Cities Scholarship

中文姓名 护照用名
Chinese Name English Name BUTH CHANRITHY 照片
性别 出生年月日 Photo
Gender Male Date of Birth 12 June 2005
国 籍 护照号码
Nationality 011388713 Passport No.
职业 最高学历
Occupation Student Highest Education High School
联系电话 电子邮件
092 345 020
Phone No. Email chanrithybuth@gmail.com

联系地址 Prey moul Village, Krang tnung Commune, Sensok District, Phnom penh,
Address Cambodia

申请学校 项目类别 在鲁留学期限

Proposed University Program Duration
□半年(Six Months)
□中文进修 Chinese Language
□1 年(One Year)
本科项目 Undergraduate Program
第一志愿
University of jinan □英文授课 English-taught
First Choice □其他(Other)
□中文授课 Chinese-taught
4 (Four Years)
学习专业
(Major)：Public Administration
□半年(Six Months)
□中文进修 Chinese Language
□1 年(One Year)
第二志愿 Shandong normal 本科项目 Undergraduate Program
Second Choice university □英文授课 English-taught □其他(Other)
□中文授课 Chinese-taught 4 (Four Years)
学习专业(Major)：Finance
□半年(Six Months)
□中文进修 Chinese Language
□1 年(One Year)
本科项目 Undergraduate Program
第三志愿 Shandong normal
□英文授课 English-taught
Third Choice university □其他(Other)
□中文授课 Chinese-taught
4 (Four Years)
学习专业
(Major)：Public Administration
 - Finish secondary school at Neakavorn secondary school.
- Finish high school at Santhormok high school.
教育经历 - Studied English at CAM-BRIDGE CENTER FOR EDUCATIOn (level
Education GEP4)
Background

工作经历 No have just finish high school

Work Experience

I want to study in China in public administration program or other program as

I can be, because I interested and love China and want to learn, to know and to
学 习计划及 促进 get experience about the life there. I also want to learn more about the culture of
本 地区与山 东省 civilization of China, specifically shandong province to spread in Cambodia how
交流的设想 amazing China is. In addition, if I have the opportunity to study in China, I will
Study Plan and try my best to gain knowledge to become a human resource.
Ideas on
Promoting
Exchanges with
Shandong
Province
(申请人签字)
(Signature of Applicant)
年（Y）2024 月（M） 01 日（D）10

推荐部门或
组织意见
Recommendation
by Sister Cities
Association or
Partnership (签字、盖章)
Organization (Signature and Official Seal)
年（Y） 月（M） 日（D）
注：该表格应以中文或英文如实填写。
Note: Please fill in all information completely and accurately in English or Chinese.