Suspension Application Form for International Students

Name

Sex

Birth Date

Nationality

Batch

Roll

Program

Date of Entry

Passport No.

Registration No.

Duration of Suspension

Y    M    D   to      Y    M     D

Reason for Suspension

□psychiatrics  □infectious diseases  □other diseases  □other reasons

Suspension Application

                              Applicant’s Signature：

                                  Y   M   D

Opinions of Academic Office

Supervisor：

Academic Officer：

Office Seal：

          Y   M   D

Opinions of Faculty                   

                       Dean：

                                                       Y   M   D

Results：

The Faculty approves the student’s suspension of study during the period of     Y   M   D  to     Y   M   D. After the report to provincial educational authority，the Faculty will revise the registration record in MOE online.

                                                     Responsible Staff：

                                                                  Y   M   D