中国科学院大学国际学生新生保留恢复入学资格申请表.doc

中国科学院大学国际学生新生保留/恢复入学资格申请表 APPLICATION FORM FOR PRESERVING/REGAINING ADMISSION QUALIFICATION 请认真阅读本表注意事项，准确无误填写下列各项。/Please carefully read the instructions given at the end and fill in the form without any mistakes 学生信息/Student’s Information 学生姓名/Name 国籍/Nationality 护照号码/Passport No. 录取号/Admission No. 联系电话/Tel 邮箱/Email 经费来源/Source of funding (请选择/ Please tick√) □ CAS-TWAS □ CSC □ UCAS Full □ Self-support □ Other: . 奖学金编号/Scholarship No. 申请类别/Application Type □ 申请保留入学资格/Apply for Preserving Admission Qualification 本人因故不能按时报到入学，特此申请延期报到入学。入学资格保留期限/I failed to register on time du