1、请按照《填写说明》的要求填写完整信息，不得空项、漏项。

2、请勿改变表格格式。

一、封面

（一）申报人选

指拟引进的外国专家。请填写与护照上显示一致的外文姓名。

（二）用人单位

指用人单位。填写时，请将单位的隶属关系写清楚。比如，作物科学研究所申报，需填写“中国农业科学院作物科学研究所”。

（三）专业领域

根据实际，从数理科学、化学、环境与地球科学、信息科学、工程与材料科学、生命科学、经济与管理等7个选项中择一填入。

（四）专业方向

请填写具体的专业方向。例如，数理科学领域的凝聚态物理。

（五）联系人、联系电话

指用人单位的联系人和联系电话。

联系人应为具体负责该项工作的人员，熟悉申报人、申报材料的相关情况。联系电话请同时填写办公电话和手机号码，保证联系畅通。

二、申报书正文

（一）姓名

请填写与护照显示一致的外文姓名及中文译名。

（二）照片

为近期小两寸正面免冠证件照。可以是胶质照片，也可以是直接打印的照片。请同时提供电子版。

（三）出生日期

请填写出生年、月、日。

（四）出生地

请填写出生国家、地区。

（五）国籍

指申报人选现在的国籍。

（六）毕业院校及专业、学位

请填写申报人选毕业院校、专业及学位的全称。请同时提供毕业证书复印件作为附件。

（七）来华前工作单位及职务

请填写申报人选来华前工作单位及职务全称，应清楚显示国家、单位、部门、职务等信息。

（八）拟（现）任职单位及职务（岗位）

请填写申报人选来华后的岗位安排情况；尚未安排的请填写拟安排职务。

（九）拟（现）任职单位地址及邮编

请填写申报人选来华后任职单位的地址和邮编。

（十）国内住址及邮编

请填写申报人选来华后的住址及邮编。

（十一）国外住址及邮编

请填写申报人选来华前在所在国的住址及邮编。

（十二）有效身份证件名称及号码

请填写申报人选有效身份证件类型和号码。例如，护照号码。

（十三）国外和国内联系电话

请分别填写申报人选在中国和所在国的电话号码。

（十四）电子邮件

请填写申报人选常用的电子邮件地址。

（十五）教育经历和工作经历

请按照时间顺序，简要、完整描述申报人选的教育和工作经历。每一段经历均应有明确的起始和终止日期，具体到月份。

教育经历从大学本科填起。请写清楚每阶段经历的所在国家、院校、专业、学位。工作经历请写清楚每阶段经历的所在国家、单位、职务。兼职经历请注明。

（十六）专长及代表性成果

请填写以下4项内容：1、个人专长，请概述本人的研究领域、方向，及取得的成就。2、请列出领导（参与）过的主要项目，包括项目的起止时间、项目性质和来源、经费总额、参与人数、申报人选的具体职位和任务。3、主要成果，请列出最能体现申报人选水平的代表性论著（论文），或专利，或产品，每类均不超过20项。其中，论著（论文）请列出日期、名称、发表载体、全部作者，通讯作者请用“*”注明；专利请列出保护期、名称、授权国家、专利所有人等；产品请标明目前的产业化程度。4、其他，包括获得的重要奖项、在国际学术组织兼职情况、在重要学术会议上作大会报告或特邀报告情况等。

填写时请客观描述，突出重点，言简意赅。

请同时提供相关材料作为附件。

（十七）工作设想

请申报人选描述来华后从事的工作以及具体任务，包括工作目标、主要方式、预期贡献及现有基础、团队等。

（十八）用人单位意见

由用人单位填写。请简要说明：1、推荐申报人选的主要理由；2、对申报人选的支持条件，即从用人单位的角度，为申报人选提供的工作条件和生活条件。用人单位应对申报人选有关信息进行必要的核实，并对支持条件做出承诺。由单位主要负责人签字，盖单位公章。

推荐理由应言简意赅，突出重点；支持条件应具体，避免笼统。

Instruction

1. Please fill up the application form truly and completely inaccordance with the following instruction.

2．Pleasedo not change the format.

ⅠFront Cover

1.1Name of Applicant

Please fill in yourname in your own language as in your passport.

1.2Name of Employer

Please fill in your current orintended employer in China.

1.3Area of Specialty

Please select your area ofspecialty from ‘Physical and Mathematical Science’, ‘Chemistry’,‘Environment and Earth Science’, ‘Information Science’,‘Engineering and Material Science’, ‘Life Science’,‘Economics and Management’.

1.4Professional Field

Please specify your professionalpreference.

1.5Contact Person and Information

Please fill in thename of contact person in your Chinese employing unit and contactinformation.

ⅡMain Body

2.1Name of Applicant

Please fill in your name both inChinese and in your own language as in your passport.

2.2Photo

The photo isrequired to be recent and two inches in size, either gelatinous photoor directly printed one. Please also provide electronic version ofyour photo.

2.3Date of Birth

Please fill in the date of yourbirth in numbers (year, month, date).

2.4Place of Birth

Please fill in the name of your birth place (City, Province/Stateand country).

2.5Nationality

Please fill in your currentnationality as in your passport

2.6Highest Degree Granted, Major, Institution Attended

Please fill in the name of yourgraduate institution, major and degree. The copy of diploma should beenclosed.

2.7Former Employer and Position

Please fill in the name of yourformer employer and position in foreign countries.

2.8Current or Expected Employer and Position

Please fill in the name of yourcurrent or guaranteed employer and position in China.

2.9Educational and Work Experience and Postal Code

Please fill in the address andpostal code of your current or guaranteed employer in China.

2.10Add&Postal Code in China

Please fill in your currentaddress and postal code in China.

2.11Address in Home Country

Please fill in your permanentaddress in your home country.

2.12ID CertificateNo.

Please fill in the type andnumber of your valid ID.

2.13Tel.in Home Country and in China

Please fill in your telephonenumbers both in your home country and in China.

2.14E-mail

Please fill in the email addressthat you usually use.

2.15 Educational and Work Experience

Please fill in youreducational and work experience in a timely, concise andcomprehensive manner. The starting and ending time for each periodshould be specified.

Please list the beginning andending dates (month, year) of each item. Educational experience shallstart from undergraduate. Please name degree, major, institution andcountry of each item. For working experiences, please name theposition, employer and country. Please also footnote any part-timepositions.

2.16Field of Specialty and Representative Achievements

1．Fieldof Specialty: Please generally describe your area of research andachievements. 2. Please list the projects led by you (or participatedin), including beginning/ending dates, nature and source of theproject, total amount of budget, number of participants, yourposition and task in the project. 3. Achievements: Please list yourworks, papers, patents or products (no more than 20 items for eachkind) that best represent your studies and researches. For works andpapers, please give publication date, title, publication media,authors (use * to mark a corresponding author); for patents, pleasegive patent length, name, country of granting, owner, etc; forproducts, please describe the present industrialization level. 4.Others: important awards, part-time positions in internationalorganizations, lectures delivered in international academicconferences.

Please make your statementsobjective, concise and comprehensive. Relevant documents should beenclosed.

2.17Work Plan

Please describe your workcontents and objectives, intended contributions as well as workteams.

2.18Opinion of Employer

Hereunder to be completed,signed and sealed by your employer in China after careful review ofapplication materials. Please fill in reason to recommend andintended support for applicants.