华北水利水电大学留学生离校申请表 Leaving Application Form for NCWU Overseas Students |
姓名 Name |
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学号 Student ID number |
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照片 ID Photo |
护照号码 Passport number |
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电话号码 Phone number |
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房间号 Room number |
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攻读学位和专业 Degree level & Major |
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签证到期日 visa expiry date |
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辅导员姓名 Counselor's name |
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离校原因 Reason for leaving school |
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离校时间 Leaving date |
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返校时间 Return date |
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交通工具 Vehicle |
Normal-speed train □ Car□ High-speed train □ Flight□ |
车次/车牌号 Train/Flight number /car license plate number |
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外宿具体住址 Deatiled residence address of visiting |
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留宿人护照号/身份证号 Host’s passport number / ID number |
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与留宿人的关系 Relationship with the host |
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留宿人电话和职业 Host’s phone number&occupation |
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紧急联系人电话 Your emergency contact number |
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学生签字 Student's signature |
signature(handwritting): Date: henni Romaissa |
辅导员意见 Student Counselor's opinion |
签名/盖章: 日期: |
主管领导意见 Leader in charge's opinion |
签名/盖章: 日期: |
学院意见 Department opinion |
签名/盖章: 日期: |
文件下载(form download):
华水留学生离校申请表Leaving application Form for Ncwu Overseas Students.xlsx