Registration for Applying Off Campus Living during the Summer Vacation

Chinese Name
    ____________
English Name
    ____________
Phone Number
    ____________
Reason for applying off-campus during the vacation
    ____________
Destination(Province/City)
    ____________
Leaving Date
日期    ____________
Off campus Detailed Address(Detail to the building and room No. )
    ____________
Emergency contact(Please write two contact)
contact one    ____________
contact two    ____________

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