Cangzhou Vocational College of Technology　Application Form for Official Withdrawal of Exchange Students

Name：

Student No.：

Class No.：

Nationality：

Contact Address (Domestic)：

Contact Number (Domestic)：

Reasons for drop out：

                  Student Signature：          Mon.    Day     Yr.

College opinions：

                        Signature：          Mon.    Day     Yr.

Enrollment Statement：

Signature of Teacher in Charge：         Student Signature：

                                           Mon.    Day     Yr.