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R-$ h > @XQ 萒\鑞錧N'Yf[Harbin Institute of Technology (HIT)僗Y|QL€ZS隭u黐^3u鲖hApplication Form of Overseas Part-time Doctoral Supervisor覻T蔛L€饄 (Name and Title) 3uf[褃T饄(Name of the Discipline) @b(WUSMO(Current Institution) 萒\鑞錧N'Yf[f[MO膵歔訷XTO6RAcademic Degree Committee of HITt^year gmonth 錯day N03u鲖篘鶺,g酧o`(u-N噀b駛噀kX橯 Information of the applicant覻 TName-N噀覻TChinese name,g齎噀b駛噀覻TName or English name'` +RGender鶴ut^gBirth year, month齎 M|Nationality穬梍剉gTf[MOFinal degreeL€ 饄Professional titleL€ Title珟齆翄鱏bgq鱏ID or Passport number顅MR@b(W錧\OUSMOCurrent institution-N 噀Chinese駛 噀English3u鲖篘剉皊E\OO0WCurrent Residence5u 輯 Telephone OwFax5uP[異眥 Email愥O0W@WCorrespondence address顅MR(W齎匭vQ諲貧!h剉|QL€臽礠Current post in other universities or institutions of China/f&T Ta T鰁YHhb:N|QL€Ye坈 intention to become a part-time professor of HIT simultaneously;N亯xvz筫TMajor research fields(Wb!h遙踒6eZS隭xvzu剉f[褃Discipline for recruitment of doctoral students at HIT 孨03u鲖篘Yef[褃x臽礠€{薔Brief account of the applicant s research work1. ;N亯f[`N孴錧\O€{哠 Main working experience and educational background2(W齎E杅[/g膥莮;N亯鸑L€臽礠 Main posts in international academic organizations3. ;Nc孾bbck(Wxvz剉;N亯褃xy橆v錘褟5t^:N;N N厤菑5y +Tw峛k鰁魰0y橆vT饄0蟸9崫槮^蔛y橆veg恘 Main research projects supervised and accomplished or projects in progress (in recent 5 years, no more than 5 projects, indicating the time to start and end; name of the project; amount of funding and its source)4. 裇h垊v;N亯f[/g簨W錘褟5t^:N;N N厤菑10莧 +ThQ钀\O€覻T0簨W剺橆v0裇h Rirb鶴Hr>y0wSg 0t^ Main publications (in recent 5 years, no more than 10 papers, indicating all authors, titles, journals, press, volume, number and year)5. 穬梍剉;N亯f[/gc儔bVY盧 Main academic honors and awards N03u鲖篘b鷭 Commitment of the applicant,g篘陙?a3u鲖萒\鑞錧N'Yf[僗Y|QL€ZS隭u黐^0俌済,g!k3u鲖穬梍f[!h惽 ,g篘\ cR蹚L圸S隭u踒u孴鵚{Q v^we\L gsQIN0I apply for working as an overseas part-time doctoral supervisor at HIT voluntarily. If the application is approved by HIT, I will recruit and supervise doctoral candidates according to the scheme, and fulfill the related responsibility and obligations. 3u鲖篘~{W[:Signature of the applicant:錯gdate:~{W[ Ow鯪 gHeFax signature is valid 踁03u鲖篘遙(Wb!h踒6e孴鵚{QZS隭xvzu剉RApplicant s scheme to recruit doctoral candidates at HIT 遙T\O 踒6e孴鵚{QZS隭u剉;N亯xvz筫T蔛剺gxvzb済 Main research fields and expected research achievements of recruiting doctoral candidates at HIT擭03u鲖篘遙(Wb!hT\O 鵚{QZS隭xvzu剉RApplicant s scheme to recruit doctoral candidates at HIT1. @b踒6ebT\O鵚{QZS隭xvzu0R僗Yf[`N剉R塠抍蔛vQ gsQ9?uD崺R臽礠 Scheme for the doctoral candidate s studying abroad and the related financial support2. 3u鲖篘剺蟢t^eg!hc黐f[ub_U\T\OAm剉!kpe孴鰁魰Frequency and time of the applicant each year to stay in HIT supervising the doctoral candidate and conducting academic cooperation/exchange3u鲖篘Nb!h鴙sQf[褃bT\O黐^剉MRgT\O鶺@x錘蔛*gegT\OR Previous basis of cooperation and prospect scheme for future cooperation with the related discipline or co-supervisor of HIT mQ0!h匭T\O黐^臽礠蔛╟Pa翂Information about the co-supervisor of HIT and the related recommendation覻TName@b(Wf[褃Disciplinexvz筫TResearch fields\O:NT\O黐^剉vQ諲|QL€/T\O黐^臽礠Information about whether working as co-supervisor for other overseas part-time doctoral supervisors╟P?u鲖篘\O:Nb!h|QL€ZS隭uc黐Ye^剉aINThe significance of recommending the applicant working as part-time doctoral supervisor at HIT!h匭T\O黐^b鷭Commitment of the co-supervisor of HIT俌済僗Y黐^剉,g!k3u鲖穬梍f[!h惽 ,g篘\飝乬/ec僗Y黐^(Wb!h鵚{QZS隭xvzu v^we\L gsQIN0If the application of the overseas part-time doctoral supervisor/co-supervisor is approved by HIT, I will give him/her strong support in fostering doctoral students, and fulfill the related responsibility and obligations. !h匭T\O黐^~{W[Signature of the co-supervisor of HIT t^year gmonth 錯dayN0 8h Evaluationf[褃╟Pa翂Discipline recommendation ?嵑N~{W[Signature of the Chairt^year gmonth 錯day3uf[b朲Q訷a翂(鲖鵞`骮?e籰h埌s0錧\O\O螛0f[/g4ls^I{蹚L坵QSO膵鱊)Recommendation of the Party Committee of the related school:? 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