常用下载

 

四川交通职业技术学院国际学生(学历生)退学申请表

发布时间:2026-03-27

四川交通职业技术学院国际学生(学历生)退学申请表

WITHDRAWAL APPLICATION FOR INTERNATIONAL DEGREE STUDENTS OF SICHUAN VOCATIONAL AND TECHNICAL COLLEGE OF COMMUNICATIONS

姓名

NAME


性别

GENDER


系别

DEPARTMENT


学号

STUDENT ID


国籍

NATIONALITY


联系电话

CONTACTNUMBER


紧急联系人及电话

EMERGENCY CONTACT & PHONE NUMBER


退学

申请事由REASON FOR WITHDRAWAL

一、准备资料及流程/ Preparation Materials and Procedures:

1.家长身份证复印件,在复印件上手写“我已知晓并同意XXX办理退学手续,签名和日期”;

/A copy of the parent’s ID card,with the following handwritten note:“I have been informed and agree that[Student's Full Name]goes through the withdrawal procedures.”(Signature and Date)

2.他人代办退学手续,需提供委托书(双方签字按手印),附双方身份证复印件;

/If someone else handles the withdrawal on your behalf,a power of attorney(signed and fingerprinted by both parties)together with copies of both parties’ID cards is required.

3.完成本申请表上所有“意见”签字和背面“离校通知书”各部门签字盖章;

/Complete all“Opinion”signatures on this application form,as well as the signatures and stamps of all departments on the reverse side“School Clearance Notice”.

4.完成资料准备和申请表签字盖章以后,到教务处明德楼808办公室开具退学证明。

/After preparing all documents and completing the signatures and stamps on the application form,proceed to Office 808,Mingde Building,the Academic Affairs Office,to obtain the withdrawal certificate.

二、学生本人描述申请事由/Application Reason (Written by the Student):

学生本人签名/STUDENT SIGNATURE:__________________

申请日期/APPLICATION DATE:__________________

辅导员意见

COUNSELOR OPINION

是否与家长取得沟通交流!/Have you communicated with parents / emergency contacts?

□是/Yes □否/ No

具体沟通内容/Details of communication:

辅导员签字/COUNSELOR'S SIGNATURE:__________________

日期/DATE:__________________

系部意见

DEPARTMENT

OPINION

是否与家长确认该生办理退学手续!/Have you confirmed with the parents about the student's withdrawal procedure?

□是/Yes □否/ No

负责人签字(盖章)

/RESPONSIBLE PERSON'S SIGNATURE (STAMP):__________________

日期/DATE:__________________

教务处意见

ACADEMIC AFFAIRS OFFICE OPINION

处长签字(盖章)

/DIRECTOR’S SIGNATURE (STAMP):__________________

日期/DATE:__________________

国际学院意见

INTERNATIONAL COLLEGE OPINION

负责人签字(盖章)

/RESPONSIBLE PERSON'S SIGNATURE (STAMP):__________________

日期/DATE:__________________

学院意见

COLLEGE OPINION

分管院领导签字(盖章)

/SIGNATURE OF COLLEGE LEADER IN CHARGE (STAMP):__________________

日期/DATE:____________________







离校通知书

SCHOOL CLEARANCE NOTICE

兹有学生/This is to certify that the student_______________________________系//fromDepartment______________班/Class______学号/with studentID_______,因退学离校。如相关手续在你处已办理完毕,请签字或盖章。/is leaving the school due towithdrawal.Please sign or affix your seal if all relevant procedures have been completed at your office.

1、辅导员(班主任)/COUNSELOR(HEAD TEACHER)

2、系办公室/DEPARTMENT OFFICE

3、宿管中心(3、4号园区中间二楼)/DORMITORY MANAGEMENT CENTER(2ND FLOOR,BETWEEN ZONE 3&4)

4、国际学院(劝学楼1311室)/INTERNATIONAL COLLEGE(ROOM 1311,QUANXUE BUILDING)

请学生在上述部门办理完相关手续后,务必持《四川交通职业技术学院国际学生(学历生)退学申请表》与离校通知书,到教务处开具退学证明。否则后果自负!

After completing the relevant procedures at the departments mentioned above,students must bring the"SVTCC Withdrawal Application Form for International Degree Students"and the School Clearance Notice to the Academic Affairs Office to obtain the withdrawal certificate.Failure to comply may result in consequences borne by the student!

四川交通职业技术学院/SVTCC

日期/DATE: