姓名: ______________国籍：______________所在班级__________

请假时间：______年___月___日至 ______年___月___日,共____天

请假事由：__________________________________________________

___________________________________________________________

请假期间联系人及详细联系方式：______________________________

请假期间我会遵守中国的法律法规和学校、学院的规章制度，外出会主动购买保险，注意人身财产安全，按时返校上课。离校期间一切安全责任自负。

请假人签名________________日期______________教学单位签字：________；留办签字：________; 日期_________

************************************************************

Letter of Asking for leave, by Chongqing Normal University

Name:__________Nationality___________

Class No. ___________

Time: from___________ to___________, alltogether___ days.

Reason: __________________________________________________

___________________________________________________________

Contact person andtelephone number if emergency happens

Duringthe leave time, I will abide by the Chinese laws and regulations, observeschool regulations. I will pay attention to the personal and property safety,buy the insurance actively, and return to school on time. I have read all theregulations and will be responsible for all the safety for leave time.

Signature：Date:

Signature forcollege：

Signature forInternational Students Office：