-------大学学生假期外出安全责任书
The safety responsibility agreement for ---------University
traveling
姓名 Name ：
国籍 Nationality ：
护照号码 Passport No.
出生日期 Birth Date：
本人申请于 ____年____月 ___日至____年____月 ___日去________________________________________(地点) 旅行。
在此期间出现的任何问题及责任由本人自行承担，与-------------大学无关。特此声明！
I applied to internship from ____Y____M ___D to ___Y___M ____ D in________________________________________(Destination).
During this period, I volunteered to undertake any responsibility and problems which are not related to -----------------University.
Student ’s Signature: Date: Telephone No.:
--------------------- University
International School Office
-------大学学生假期外出安全责任书
The safety responsibility agreement for ---------University
traveling
姓名 Name ：
国籍 Nationality ：
护照号码 Passport No.
出生日期 Birth Date：
本人申请于 ____年____月 ___日至____年____月 ___日去________________________________________(地点) 旅行。
在此期间出现的任何问题及责任由本人自行承担，与-------------大学无关。特此声明！
I applied to internship from ____Y____M ___D to ___Y___M ____ D in________________________________________(Destination).
During this period, I volunteered to undertake any responsibility and problems which are not related to -----------------University.
Student ’s Signature: Date: Telephone No.:
--------------------- University
International School Office