浙江师范大学国际本科生学籍异动申请表(英文版).docxVIP

Applicati on for Stude nt Status Alterati on (Intern ati onal Un dergraduate Stude nts of ZJNU) Passport Name Student ID No. Sex : Date of Enrollment : (yy) (mm) (dd) Major College/Department: Major: Passport No.: Nationality : Type of fee:^ CSC Scholarship □ CIS Scholarship Self-Financed □ ZJNU Scholarship Others Mobile : E-mail : Alteration type: □ Suspension of Schooling □ Voluntary Withdrawal □ Resume Schooling □ Extension Reasons (Additional documents may be attached, if necessary) Duration: (yy) (mm) (dd) to (yy) (mm) (dd) Signature: (yy) (mm) (dd) Campus Hospital: (For Suspension due to illness only) Signature: Official Seal 奖 学 金 生 承 诺 书 □ CSC Scholarship □CIS Scholarship Iam fully aware of the fact that I am not entitled to my scholarship during the extension and the fact that I have to pay all the expenses incurred by the extension. Signature: (yy) (mm) (dd) 国 际 学 生 知 晓 书 Alteration type :□ Temporary Absence □ Extension I am fully aware of the fact that my student status will be deprived if I cannot graduate before (d) (m) (y) according to Detailed Implementing Regulations on Student Status for International Students of Zhejiang Normal University (revised). Signature: (yy) (mm) (dd)  所在院系意见 所在学院教务办 Signature: (yy) (mm) (dd) 所在学院学工办意见： Signature: (yy) (mm) (dd) Dean of the applicant s college/department: Signature: Official Seal (yy) (mm) (dd)  本科教学部意见 本科教学部意见(行政北楼225室)： Director s signature Official Seal (yy) (mm) (dd) 国 际 处 丿意 见 国际处意见(行政北楼405室)： Director s signature Official Seal (yy) (mm) (dd) 注： Medical proof is required for temporary absence/resume schooling/withdrawal due to illness. Each application is allowed for at most one semester s extension. 此表由国际处国际学生办公室办汇总交至档案馆存档。