精品浙江大学外国留学生校外住宿申请表.doc

浙江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Gender
F □
M □
出生日期
Date of Birth
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)
高级进修生(Senior advanced student) □博士研究生(Doctoral candidate) □
硕士研究生(Master’s candidate) □本科生(Undergraduate) □
普通进修生(General advanced student)□语言生(Language student) □
短期文化旅游生(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
计划在浙江大学学习时间Planned Duration of Study at Zhejiang University
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