[医学精品]浙江中医药大学外国留学生校外住宿申请表(1).doc

文档介绍：浙江中医药大学外国留学生校外住宿申请表 APPLICATION FOR OFF-CAMPUS MODATION 姓名 Name (in English) ( Family name First name Middle name) (in Chinese) 性别 Sex 出生日期 Birthdate 年月日 year month date 国籍 Nationality 护照号码 Passport No. 居留许可/ 有效期 Expiration Date of Residence Permit 年月日 year month date 学生类别(Categories of students) 博士研究生(Doctoral candidate) □硕士研究生(Master ’s candidate) □本科生(Undergraduate) □语言生(Language student) □长期进修生( General advanced student )□短期进修生(Short - term cultural tour student )□学习专业 Specialty of Study 学号 Student ID No. 所在班级 Class No. 手机号码 Mobile Phone No. 电子信箱 E-mail Address 计划学习时间 Planned Duration of Study 从______ 年_____ 月至______ 年_____ 月(year) (month) (to) (year) (month) 计划校外住宿时间 Planned Duration of Off-campus modation 从______ 年___ 月___ 日至___ ___ 年____ 月____ 日(from) (year) (month) (date) (to) (year) (month) (date) 申请校外住宿地址/ 电话号码 Address/Phone No. of Off-campus modation Place Applied for 房东姓名 Name of Landlord 房东身份证号码 Personal ID No. of Landlord 房东电话号码 Phone No. of Landlord 房东电子信箱 E-mail of Landlord 派出所《境外人员申报临时户口凭证》复印件 Copy of“ Temporary Registered Residence Certificate for Foreigner ” issued munity Police Substation 复印件粘贴处