中国科学院大学国际学生在学证明申请表

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1、中国科学院大学国际学生在学证明申请表SC2APPLICATIONFORMFORCERTIFICATEOFSTUDY填写前请先仔细阅读说明内容。/Pleasecarefullyreadthenoteattheendoftheformbeforeyoufillinit.Ⅰ学生信息/Student’sInformation学生姓名/Name学号/StudentIDNo.护照号码/PassportNo.国籍/Nationality联系电话/Tel.邮箱/EmailⅡ申请信息/ApplicationInformation□申请在读证明/ApplyforCert

2、ificateofStudy;□申请预毕业证明（申请人须已经满足毕业条件）/ApplyforPre-GraduationCertificate(Onlyfortheapplicantwhohasfulfilledwiththerequirementsofgraduation).Ⅲ申请材料（提交前请详细检查）/RequiredMaterials(Pleasecarefullycheckbeforematerialsubmission)□申请人护照个人信息页复印件/PhotocopyofIDPageoftheApplicant’sRegularPassp

3、ort;□相关证明材料（如会议通知/邀请函等）/Anydocuments/materials(e.g.ConferenceInvitationLetter)tosupportyourapplication.□培养单位出具的预毕业公函（申请预毕业证明必备）/Officialletterissuedbythehostinstitute(RequiredforPre-GraduationCertificateapplication).出境信息/Exit&EntryInformation(Thispartisonlyforstudentswhoseappli

4、cationfortheStudyCertificateisforaninternationaltravel.PleasealsosubmitthephotocopyofyourvalidChineseresidencepermit)出境事由/PurposeofInt’lTravel:□Forpersonalaffairsarrangedbyapplicant;□Foractivitiesarrangedbythehostsupervisor/institute行程安排/TimeDuration:离境日期/Theexpecteddatetoleave

5、China:年/Yr月/Mon日/Day;返校日期/TheexpecteddatetocomebacktoChina:年/Yr月/Mon日/Day;紧急联系人信息/EmergencyContactPersonandTel.Number:Nameoftheperson:;Tel.Number:Ⅳ证明用途/PurposeoftheCertificate申请人签字/Applicant’sSignature：年/Yr月/Mon日/DayⅤ培养单位意见Institute/CollegeComment●对该生申请《在读证明》：□同意Agree□不同意Disagr

6、ee经办人签字：年月日（主管部门公章）Ⅵ国科大意见UCASComment●对该生申请《在读证明》：□同意Agree□不同意Disagree经办人签字：年月日（主管部门公章）填表说明/Note：1.本表供国际学生申请在读/预毕业证明之用，由申请者本人填写，在培养单位盖章后，连同相关材料的扫描件发送至iso@ucas.ac.cn。/ThisformisforinternationalstudentstoapplyforCertificateofStudy/Pre-graduation,whichshallbefilledbytheapplicantwit

7、hthesealofhostinstitute.Itshallbesubmittedwithotherrequiredmaterialstoiso@ucas.ac.cn.2.申请人因私出境的，需附《请假单》。申请人因公出境的，培养单位须为国际学生提供医疗保险。/Fortheapplicantwhoseinternationaltravelisforpersonalaffairs,aLeaveRequestFormwiththehostinstitute’sapprovalisalsorequired.Fortheapplicantwhoseinter

8、nationaltravelisforactivitiesarrangedbythehostsupervis