留学归国证明的一份授权信

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AUTHORISED SIGNATURE by Applicants

I, ____填写英文名字__________________ confirm that the documents provided to the Chinese Embassy are genuine. Hereby I, ______填写英文名字______ give my consent for the university (____________填写英文学校名字________________________) to release my information to Chinese Embassy to verify the authenticity of the document I presented.

Applicant’s Name:_______________________

Date of Birth:__________________________

Student Reg. No:________________________

Programme title:__________________________

Starting Date of the Programme:____________________

Completion Date of the Programme:_______________

Phone :___________________________________

E-mail :________________________________________

Date:____________________ Signature:_________________

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