中国国家留学生基金管理委员会 CSC
NO.
CHINA SCHOLARSHIP COUNCIL 派遣类别： 学生类别：
中国 北京西城区车公庄大街9号A3楼13层 100044
Level 13, Building A3, No.9 Chegongzhuang Avense Beijing 经费办法： 学习专业：
100044 P.R China
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 )
A P P LICATION FOR M FOR CHINE SE G OVE R NME NT
SCHOLA R SHIP
Personal Information：
Agency No. Agency Name
00010 Ministry of Commerce
Family Name First Name
TIRUNEH GIZACHEW
Chinese Name Gender
Male
Date of Birth Marital Status
1979-10-08 Married
Nationality Native Language Passport No. Date of Expiration
Ethiopia Other EP3870189 2021-02-23
Country of Birth City of Birth Religion
Ethiopia Gondar Orthodox
Permanent Contact Tel Permanent Contact Fax Permanent Contact E-mail
251918814924 gizachewayalew75@yahoo.com
Permanent Contact Address
Debre Tabor University ethiopia
Present Contact Tel Present Contact Fax Present Contact E-mail
+251918814924 gizachewayalew75@yahoo.com
Present Contact Address
Debre Tabor Ethiopia
Education and Employment History：
Highest Education
Institute Name
BAHIR DAR UNIVERSITY
Years Attended Field of Study
2011-05-03--2013-11-06 LAND RESOURCE MANAGEMENT
Qualification (eg. BA. BSc)
MASTER OF SCIENCE
Serial Number: 17BE3936D9 Page 1 of 4 Generated: 2017-05-10
Other Education Certificates Ⅰ
Institute Name
AWASA UNIVERSITY
Years Attended Field of Study
2001-10-03 -- 2004-11-10 PLANT SCIENCES
Qualification (eg. BA. BSc)
BSC
Other Education Certificates Ⅱ
Institute Name
Years Attended Field of Study
--
Qualification (eg. BA. BSc)
Employment History
Employer
DEBRE TABOR UNIVERSITY
Employment Duration Work Engaged
2010-02-04 -- 2017-05-10 LECTURING, RESEARCHING
Title & Position
LECTURER
Language Proficiency and Study Plan：
Chinese Proficiency Level of Obtained HSK Certificate
None
English Proficiency Obtained English Proficiency Certificate
Excellent BAHIR DAR UNIVERSITY
Apply as Discipline Applying For
Doctor's Degree Agriculture
Preferred Teaching Language Major Applying for
English Agricultural Resources and Environment
Preferences of Institute Ⅰ
Huazhong University of Science and Technology
Preferences of Institute Ⅱ
Tongji University
Preferences of Institute Ⅲ
Zhejiang University
Duration of Major Study
2017-09-01 -- 2020-05-01
Ever studied or worked in China?
No
Institute or Employer Employment Duration
--
Serial Number: 17BE3936D9 Page 2 of 4 Generated: 2017-05-10
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
MARYE BELETE +8613685750
E-mail Fax
marye_belete@yahoo.com
Address
Zhejiang university
Spouse's Name
TIRINGO YILAK
Spouse's Age Spouse's Occupation
30 LECTURER
Father's Name
YILAK ALEMAYEHU
Father's Age Father's Occupation
58 FARMER
Mother's Name
TENA
Mother's Age Mother's Occupation
42 FARMER
◆ Supporting Documents：
✓ 证件照片；
✓ Certificates of Highest Education (Notarized Copy)：
Bachelor's Degree Master's Doctor's Other
✓ Transcripts of Highest Education (Notarized Copy)；
✓ Study Plan；
✓ Two Recommendation Letters；
✓ Passport Home Page；
✓ Physical Examination Record for Foreigner；
Admission Letter or Admission Notice of Chinese Universities；
✓ 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.
Serial Number: 17BE3936D9 Page 3 of 4 Generated: 2017-05-10
◆ 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 university as 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: 17BE3936D9 Page 4 of 4 Generated: 2017-05-10
