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1、成都中医药大学境外学生校外居住申请表ApplicationFormforOff-campusAccommodation(请用黑色或蓝色墨水笔填写内容)Pleasecompletetheforminblackorblueink姓名FullName性别Sex:出生日期DateofBirth生源地CountryZRegion证件类型Typeofcertificate证件号码CertificateNo.证件有效期Certificateexpirydate居留证号码(留学生填写)ResidencePermitNo.(imena(ionalstudentsonly)居曾证有效期(IJ学生填写)Reside
2、ncePermitexpirydate(internationalstudentsonly)本人联系电话ApplicantTel本人自愿申请迁往居住。我将负责自己在校外居住时的人身安全和财务安全,并随时与我校国际教育学院/台港澳事务办公室保持联系,报告居留地址异动的情况。Theapplicantvolunteeredbyhim/herselftoresideat.Iwillberesponsibleformypersonalsafetywhen1liveoutsidetheschooland1amapplyingtorentapartmentbymyselfwithmyparentspermi
3、ssion.Imyselfwillresponsibleformypersonalsafetyandbelongings.IwillalwayskeepintouchwithInternationalEducation/Taiwan,HongKongandMacaoAffairsOffice.Reportdirectlyonchangesinresidenceaddressintimelymanner.我保证以上填写的内容真实、准确、完整,并保证在停留居留期间遵守中华人民共和国的法律。Iherebydeclarethattheinformationgivenaboveistrue,correc
4、tandcomplete.IshallabidebytheChineselawsandregulationsduringmystayinthePeoplesRepublicofChina.申请人签名:申请日期:Applicantsignature:Applicationdate:国际教育学院意见:OpinionofInternationalEducationCollege:备注remarks:1 .现居留地址CUrrentresidenceaddress:2 .现联系电话ApplicantTel:3 .拟迁往地址Relocate(new)residenceaddress:4 .房东姓名NameofLandlord:5 .房东联系电话TelNo.ofLandlord:6 .是否有租房协议PrOVideRentalcontract:是yes否no口7 .是否有入境人员临时住宿登记表RegistrationVoucherofResidenceForVisitorsFromOverseas:是yes否no