ࡱ> c RbjbjObOb#(11111yD}"-C/C/C/C/C/C/C$vG,JVSC1SC114D(222 11-C2-C22:#7,7g(O7 C8DHDY7RJ)PJ77~JJ$1):2SCSCM,DJQ :   INCLUDEPICTURE "http://www.eol.cn/article/20051008/tongji.jpg" \* MERGEFORMATINET  3uUxXf[MO[ybh-NeHr Application Form for Master s Degree 3uNY T Candidate s Name f[S Student No. @b(Wb| School/Department f[y{|bNNf[MO{|+R Discipline/Professional Degree f[ybNNW Major/Field c[Ye^ Supervisor oRc[Ye^ Vice Supervisor TNm'Yf[xvzub6R Graduate School of Tongji University t^ g e / / (mm/dd/yy) kXhf Instructions N0wkXQ,ghQ[ Y NYkXQ SSRDu0 Fill in the form carefully. Additional pages allowed. N0(u݄ўr4l{kXQbSbpS,ghQ[0 Fill in the form in black ink or print it out after filling. N0,gh\b  f[y{|  3uf[/gf[MOxvzukXQ0 f[/gf[MOvf[y{|Sb Tf[0~Nmf[0lf[0Yef[0ef[0tf[0]f[0;Sf[0{tf[0z/gf[I{AS'Y{|0  Discipline : Candidates applying for an academic degrees fill in the  Discipline space on the cover. 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N0*NN{N Personal Information Y T Chinese Name'`+R GenderQueg Date of Birtht^ g e / / (mm/dd/yy) gqGr Photo яgckbMQQi_r N[45*35mm lN|4(Wf[MOfN N vgqGrN Notes: ID photo, color; Size: 45X35mmY Tb English Namele n/a/?elb n/a/Qu0W n/a/eQf[MR@b(W0W n/a /NSx n/a//////////////////VEf[ubgqS Passport No.VM| NationalityeQf[e Admission datef[`Ne_ Learning schedulehQe6R[ ] ^hQe6R[ ] Full-time Half-time ;Nf[`NT ]\O~S Nؚ-N_Y Education and Work Experience (Beginning with High School)wbkt^g Beginning and Ending DatesUSMO Ty School/Businessf[ubLR Position(Wf[g VY`Q Awards in school ,gNy 6k`Q Undergraduate information t^ g e kNN 'Yf[0f[b0f[!h  NN ,gy/NykN0~N0N f[Xf[MO0 On / / (Date), the candidate graduated from with major in , and Bachelor Degree/certificate of N0 zb~US Academic Records TNm'Yf[UxXxvzu zb~USSN|4Y Paste Here | 4 ~ (Paste Line)   N0(Wf[gf[/gbgScientific Research Achievements During the Study Period Nf[MOevsQvf[/gWSh`Q Nh'`5{ Sr TUSMO TNm'Yf[ ,{N\O0b[^,{N,gN,{N Publications (fill up to 5, the unit is Tongji University signed, first author, or mentor first I second);`{pe vQ-NSCI EI CSSCI SSCI Number^ Se0NW Ty Titles of PublicationsShe Date of Publishing Rir Ty QHrUSMO Publisher\OY T Author s Nameh"}`Q bISSN bISBN Accession Number / ISSN / ISBN12345Nf[MOevsQvvQNf[/gbgNh'`3y Awards and Patents ( fill up to 3 )^ Sbg Ty Awards or Patents_e DateVY Awarding organizationI{~ Level,gN c T RankingVYfNS bN)RS Certificate No.123l 1.h"}`Q 傺eSCI0SSCI0EI0CSSCIh"} SkXQeh"}`Q0 2.ISSN OY ISSN 1000-4203 0 3.ISBN OY ISBN 7-302-03778-7 0 4.N)RS ]cCgv  SfN)RS N  ZL _4Y0 ,gNb @bkXOo`w[e g N[ ?abbv^v#NTTg0 I promise: Information filled is true and correct. 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the candidate s degree paper, and opinion on whether the candidate can be approved to present the dissertation defense.  N0c[Ye^a~ [^~{ T t^ g e Signature of Supervisor: / / (mm/dd/yy)  mQ0f[MOeċ`QTT{[8h Dissertation Review and Defense f[MOe[ċ`QGl;` Summaryeċwbke Review Periodt^ g e t^ g e / / - / /ċfN qQ[NpeTotal Number of Copies for ReviewersvQ-N TċfN [Npe Number of Copies for Anonymous ReviewersċfN qQ6eVNpe Number of Returned Copieseċa Review Comments TaT{ N N TaT{ N0 vQ-N Tċ TaT{ N0 Approvals: Disapprovals: Approvals (Anonymous reviewers):f[MOev Dissertation TitleRT{eg Planning Date of Dissertation Defenset^ g e / / f[MOeċN Dissertation ReviewersY TNameLyTitle]\OUSMOOrganizationf[MO e T{ YXTODefense Committee;N-^ ChairmanYXT MembersyfN Secretaryf[yYXTO/NNf[MOYecYa/f&T TaT{0/f&T TaċNTT{YXTObXT  Discipline Committee's Comments: ;NN~{ T t^ g e Signature of Director: / / (mm/dd/yy) f[MOċ[RYXTOa/f&T Ta  The Academic Degree Evaluation Sub-Committee Comments: ;N-^~{ T t^ g e Signature of Chairman of the Academic / / (mm/dd/yy) Degree Evaluation Sub-Committee:  N0f[MOeT{YXTOQ Conclusion of the Defense Committee QQ[ Conclusion: T{YXTOqQ N ~hQ N^cN3uNUxXf[MO09hnc 0 TNm'Yf[ f[MOcN]\O~R 0[l] (W%QR "  The number of defense committee members is , and the number of members voting to propose granting the candidate a master degree is . In accordance with Degree-Conferment Instruction of Tongji University: %^cN3uNUxXf[MO0 %3uNS(WNt^QO9ee 3u͑eT{N!k0 %^ NcN3uNUxXf[MO0 %cP:N TNm'Yf[OyUxXf[MOe0  T{YXTO;N-^~{ T t^ g e Signature of Chairman of Defense Committee: / / (mm/dd/yy)l 9hnc 0 TNm'Yf[f[MOcN]\O~R 0,{ASNagĉ[ Notes: In accordance with Article 11 of Degree-Conferment Instruction of Tongji University: 1.3uN_hQSOT{YXTObXT NRKNNN N+T Tahy b ^cN3uNUxXf[MO  If more than, or exactly, 2/3 of all the members of the defense committee vote to grant the degree, choose  propose granting the candidate a master degree. 2.3uN_hQSOT{YXTObXTNRKNNN N+T 0 NRKNNN N N+T Tahy b 3uNS(WNt^QO9ee 3u͑eT{N!k  If more than, or exactly, 1/2, and less than 2/3 vote to grant the degree, choose  The candidate may, within one year, revise their papers and apply for defense again  3.3uN_hQSOT{YXTObXTNRKNNN N N+T Tahy b ^ NcN3uNUxXf[MO 0 If less than 1/2 vote to grant the degree, choose  propose not granting the candidate a master degree.  kQ0f[MOċ[RYXTOQ!hf[MOċ[YXTOcCg Decision of the Academic Degree Evaluation Sub-Committee f[MOċ[RYXTOqQ gYXT N N t^ g eS_O Q-^OYXT N ~hQ N TacN3uNUxXf[MO0 9hnc 0 TNm'Yf[f[MOcN]\O~R 0[l] _ Academic Degree Evaluation Sub-Committee has members, meeting on (Date). The number of members attending the meeting is . After voting, members agree granting the candidate a master degree. In accordance with Degree-Conferment Instruction of Tongji University. TacN UxXf[MO Agree granting a master s degree of f[MOċ[RYXTO;N-^~{ T Signature of Chairman of the Academic Degree Evaluation Sub-committee: l f[MOċ[RYXTO[Ny^ǏOۏL0O_{ gYXTOYXT NRKNN+T NRKNN N NQ-^0OvQ[ N N Tbhye_ ~YXTOhQSOYXTǏJSpe Ta:NǏ NǑ(u0YXbbhyve_0 ]N0!hf[MOċ[YXTOYHh Record of Academic Degree Evaluation Committee of Tongji University D 0 TNm'Yf[sQNcNUxXf[MOvQ[ 0      PAGE  PAGE 1  <>DJPXZ^`bfjõᥕo[G&hthu5CJOJQJ^JaJo(&hthg:5CJOJQJ^JaJo(&hthLv 5CJOJQJ^JaJo(#hthLv 5CJOJQJ^JaJhthu5OJQJ^Jo(hthg:5OJQJ^Jo(hthO 5OJQJ^JhthO 5OJQJ^Jo(hthUo5OJQJ^JhthLv 5OJQJ^Jo(hthLv 5OJQJ^J  "$&(*,.0 $Ifgdp02468:<>@BDl$$4$G$IfYDda$gdu$$4$G$Ifa$gdp $Ifgdp jln~,8:\dfhjlxоzfVHV8hthO 5OJQJ^Jo(hthUo5OJQJ^JhthLv 5OJQJ^Jo(&hthLv 5CJOJQJ^JaJo(&hth6%5CJOJQJ^JaJo(#hthLv 5CJOJQJ^JaJhthLv 5OJQJ^JhthLv 5CJOJQJ^J#hthLv 5CJOJPJQJ^J*hthLv 5CJOJPJQJ^JaJo( hthLv #hthLv 5CJOJQJ^JaJln,\^`bdfhj{pggggggg $Ifgdp $G$Ifgdpx$G$H$IfXD2gdp 0G$YDgdLv jkdP$$Ifl# t0644 layt jlnprtvxz|~ 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