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浙江工业大学本科留学生辅修专业修读申请表

Application Form for Minor Programme for Undergraduate International Students of ZJUT

学号 Student ID 性别 Gender 学院College 护照号 Passport No. 国籍 Nationality 专业Major 英文姓名 English Name 入学日期 Enrollment Date 联系电话 Telephone 申请辅修专业名称 Minor Program 是否修读过其它辅修专业Whether has already taken other minor program 是否有经补考或重学后不及格课程Are there any courses fail by make-up or restudy 前几学期主要课程成绩Main courses scores of previous semester 课程Course 前几学期平均学分绩点 GPA of previous semester 成绩Score 课程Course 成绩Score 所在专业学院成绩审核意见Opinions of Major College 签章Signature&Stamp： 年(Year) 月(Month) 日(Day) 辅修专业所在学院意见Opinions of Minor Program College 签章Signature&Stamp： 年(Year) 月(Month) 日(Day) 教务处意见Opinions of Academic Affairs Office 签章Signature&Stamp： 年(Year) 月(Month) 日(Day) 注Attention： 1.留学生在校期间限修一个辅修专业。Student can apply for only one minor program. 2.本表一式四份，学生本人、所在专业学院、辅修专业所在学院、教务处各存一份。Four copies of this form are needed. Each copy is saved by student himself/herself, major college, minor program college and Academic Affairs Office after school approval.