留学归国证明的一份授权信

AUTHORISEDSIGNATUREbyApplicantsI,____填写英文名字__________________confirmthatthedocumentsprovidedtotheChineseEmbassyaregenuine.HerebyI,______填写英文名字______givemyconsentfortheuniversity(____________填写英文学校名字________________________)toreleasemyinformationtoChineseEmbassytoverifytheauthenticityofthedocumentIpresented.Applicant’sName:_______________________DateofBirth:__________________________StudentReg.No:________________________Programmetitle:__________________________StartingDateoftheProgramme:____________________CompletionDateoftheProgramme:_______________Phone:___________________________________E-mail:________________________________________Date:____________________Signature:_________________