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中国国家留学生基金管理委员会
CHINA	SCHOLARSHIP	COUNCIL
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
100044	P.R	China
Tel:0086-10-66093900		E-mail:laihua@csc.edu.cn
Fax:0086-10-66093915		Http://www.csc.edu.cn
Agency	No.
2301
Agency	Name
Embassy	of	P.R.	China	in	Ethiopia
Surname
GUYE
Given	Name
HABIB	FIGA
Chinese	Name Gender
Male
Date	of	Birth
1991-09-13
Marital	Status
Single
Nationality
Ethiopia
Native	Language
Other
Passport	No.
EP4515895
Date	of	Expiration
2022-04-11
Country	of	Birth
ETHIOPIA
City	of	Birth
Asela
Religion
ISLAM
Permanent	Contact	Tel
251910743267
Permanent	Contact	Fax Permanent	Contact	E-mail
kasumekonini@gmail.com
Permanent	Contact	Address
ETHIOPIA,ADDIS	ABABA
Present	Contact	Tel Present	Contact	Fax
+251	46	443	0355
Present	Contact	E-mail
Present	Contact	Address
ETHIOPIA,OROMIA,BULE	HORA
Institute	Name
Bule	Hora	University
Years	Attended
2013-09-01--2015-07-09
Field	of	Study
Information	Science
Qualification	(eg.	BA.	BSc)
Bsc	in	Information	Science
CSC	NO.
派遣类别: 学生类别:
经费办法: 学习专业:
(	The	above	table	is	only	for	CSC	)
APPLICATION	FORM	FOR	CHINESE	GOVERNMENT
SCHOLARSHIP
Personal	Information
Education	and	Employment	History
Highest	Education
Page	1	of	5Serial	Number:	1869437281 Generated:	2019-10-17
Institute	Name
Years	Attended
--
Field	of	Study
Qualification	(eg.	BA.	BSc)
Institute	Name
Years	Attended
--
Field	of	Study
Qualification	(eg.	BA.	BSc)
Employer
GUYE	HABIB	FIGA
Employment	Duration
2016-03-08	--	2018-03-26
Work	Engaged
ASSISTANT	LECTURER
Title	&	Position
TEACHER
Chinese	Proficiency
None
Whether	holding	a	HSK	certificate	or	not?
Yes
Level	of	Obtained	HSK
Certificateno
Score	Obtained Test	Date
English	Proficiency
Excellent
Whether	holding	a	certificate	of	English	proficiency?
Yes
Name	of	the	Test
no
Score	Obtained Test	Date
Apply	as
Master's	Degree
Discipline	Applying	For
Engineering
Preferred	Teaching	Language
English
Major	Applying	for
计算机科学与技术(无效)
Whether	holding	a	pre-admission	letter?
No
Preferences	of	Institute	Ⅰ
Beijing	Institute	of	Technology
Preferences	of	Institute	Ⅱ
Beijing	University	of	Technology
Preferences	of	Institute	Ⅲ
Nanjing	University	of	Information	Science	&	Technology
Duration	of	Major	Study
2018-04-30	--	2020-04-30
Other	Education	Certificates	Ⅰ
Other	Education	Certificates	Ⅱ
Employment	History
Language	Proficiency	and	Study	Plan
Page	2	of	5Serial	Number:	1869437281 Generated:	2019-10-17
Name	of	Contact	Person	or	Organization	in	China Tel
E-mail Fax
Address
Spouse's	Name
Spouse's	Age Spouse's	Occupation
Father's	Name
Father's	Age Father's	Occupation
Mother's	Name
Mother's	Age Mother's	Occupation
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
Page	3	of	5Serial	Number:	1869437281 Generated:	2019-10-17
◆ Supporting	Documents
✓Passport/Visa	Style	Photo;
✓	Certificates	of	Highest	Education	(Notarized	Copy):
Bachelor's	Degree 	Master's 	Doctor's 	Other
✓Transcripts	of	Highest	Education	(Notarized	Copy);
✓Study	Plan;
✓Reference	Ⅰ;
Reference	Ⅱ;
✓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);
Chinese	Language	Proficiency	Certificate;
English	Language	Proficiency	Certificate;
Pre-admission	Letter;
	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:
All	information	and	supporting	documentation	provided	for	this	application	are	complete,	true	and	correct;
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;
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;
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;
I	shall	go	through	the	procedures	of	the	Annual	Review	of	Chinese	Government	Scholarship	Status	as	required;
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;
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。
Page	4	of	5Serial	Number:	1869437281 Generated:	2019-10-17
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	university	to	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	5	applications,	including	a	maximum
of	2	Type	A	and	3	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”.
Page	5	of	5Serial	Number:	1869437281 Generated:	2019-10-17

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