齐鲁工业大学（山东省科学院）来华留学生住宿申请表
ACCOMMODATION APPLICATION FORM
姓 名 Name | (in English) ( Family name First name Middle name) | (in Chinese) | ||||||||
性 别Gender | F □ M □ | 出生日期 Date of Birth | 年月 日 year month date | 国 籍 Nationality | ||||||
护照号码 Passport No. | 宿舍类型 Dormitory Type | Type A □Type B □ | ||||||||
学生类别 Categories of students | 硕士研究生(Master’s Candidate)□ 本科生(Undergraduate) □ 国际交换生（International ExchangeStudent）□ 语言生(Language Student) □ 短期文化旅游生(Short-term Cultural Tour Student) □ | |||||||||
学习专业 Specialty of Study | ||||||||||
手机号码 Mobile No. | 电子信箱 E-mail Address | |||||||||
计划在齐鲁工业大学(山东省科学院）学习时间 Planned Duration of Study at QLUT（SAS） | 从______年_____月至______年_____月 (year) (month) (to) (year) (month) | |||||||||
Note：Dormitory Types and Facilities (the price may fluctuate)
Dorm Type | Price(for 1People) | Facilities | Deposit | |
Type A One Room One Hall 2 Beds | In Campus | RMB￥4,500 /term (all fees included) | Refrigerator, Heating, Furniture, Toilet, Microwave Oven, Induction Cooker, Bathroom, Washing Machine, Water Heater, etc. | RMB￥1,000 (for 1People) |
Type B | Not Applicable | |||
申请人保证：(1).上述各项中提供的情况是真实无误的；
(2). 遵守中国政府的法律和规章制度。
I hereby affirm that: (1) All information above is true and correct;
(2) I shall abide by the laws and the regulations of the Chinese Government and all regulations of QLUT.
申请人签字：日期: _______ 年______月______日
（Applicant’s signature）-------------------------------------------- Date: year month date
