1、编号 NO。留学生校外租房协议书Agreement for Student Rent Apartment Outside1, 本人自愿申请在留学生公寓以外租房居住,并已征得家长同意,若有任何人身安全及财产意外发生,一切后果由本人负责。I am applying to rent apartment by myself with my parents permission. Myself will responsible for my personal safety and belongings. 2,本人保证在入住三日之内到居住地公安机关办理登记手续, 并将本表格交回留学生学生工作办公室。I s
2、hall go to local police station to registrant with in 3 days I move to the rent apartment and bring this form back to Overseas Students Office. 3,本人保证在居留许可证到期前10天到外事处办理居留延期手续。 I shall give notice to the Foreign Affairs Office 10 days before my residence permission expire.英文姓名English Name照片(Photo)中文姓
3、名Chinese Name性别Gender出生日期Date of Birth护照号码Passport No.本人租房地址:Address of the rent apartment房东或物管部门联系人: 电话:Tenant Name Tel. 本人联系电话 住宅: 手机:student Tel Home Mobile 家长联系电话Parents Tel:家长电子邮件Parents E-mail :所在地派出所登记Local Police Station Registration 户籍签名 : 联系电话:Policeman/woman Signature Tel: 年 月 日 我谨声明上述内容属
4、实并同意有关协议条款。I understand and agree the agreement and declare that the information I have provided in this application form is, to the best of my knowledge and belief, correct and complete . 学生签名Students Signature: 日期(Date):留学生学生工作办公室意见Overseas Students Office 年 月 日学生社区管理科意见Student Hostel Office 年 月 日 (本表一式二份,学生本人保存一份,留学生学生工作办公室保存一份)