假期留校申请表（中英文）.docx

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1、年暑/寒假留校申请表ApplicationFormforStayintheDormonSummerZWinterVacation姓名FullName证件号码CertificateNo.学号RollNo.年级专业Major寝室号DormNo.申请理由Reasonforapplication本人因以上原因申请一月一日一一月一日留校住宿。本人承诺：1、严格遵守各项法律法规及校纪校规。2、严格遵守公寓管理规定。3、每日按时回寝。若因特殊原因无法按时回寝，应提前向主管教师请假。根据实时属地防控政策，离校时及时报备去向。4、暑假期间，做好个人防火、防盗、防诈骗及疫情防护等。5、不前往疫情中高风险地区。6、

2、若出现发热等身体异常情况，及时向主管老师和宿管报告。Duringmystayinthedormfromto,Ipledge:1. IwillstrictlyabidebyalltheregulationsandrulesofPeoplesRepublicofChinaandCDUTCM.2. Iwillfollowalltheregulationsofthedormitory.2.1 willreturntothedormeverydayontime.IwillaskpermissionfromcounsellorinadvanceifIcan,treturnforparticularreas

3、ons.IwillabidebytheCOVID-19preventionandcontrolpolicyandreportmydestinationtocounsellor.counsellor.1.1 willdoselfprecautions,fireproof,theft-proofandfraudpreventionduringthesummervacation.5. Iwillnevergotothemiddleandhighriskareas.6. Ifanysymptomslikefever,Iwillimmediatelytellthecounselloranddormmanager.申请人签名：申请日期：Applicantsignature：Applicationdate：国际教育学院意见：OpinionofInternationalEducationCollege：主管教师签字Counsellor:院领导签字HeadOf正C: