(以下栏目由推荐人填写)  The following to be filled in by the referee

推荐人姓名

(Name of Referee)

推荐人职务或职称

(Position and Tithe)

推荐人工作单位

(Institution and Address)

推荐人与申请人的关系

(Relationship with the Applicant)

推荐人电话                                           推荐人传真

(Telephone Number)                                (Facsimile)

推荐意见（Recommend ation）

推荐人签字                                            推荐日期                      

(Signature)                                                                         (Date)