请假条

Application for Leave

中文姓名 英文姓名
Chinese Name English Name
联系电话 房间号
Phone Number Room No.
请假期限 From to
Leave Period

事由
Reasons

目的地详细地址
Destination

紧急联系人
Emergency Contact

申请人签字 辅导员审批
(Signature of A pplicant): (Signature of Tutor):

学院审批
（Permission from the Management):
1. 遵守中华人民共和国法律法规，尊重他人风俗习惯，遵守社会公德；
Abide by the laws of China and regulations of SAU. Respect the customs and habits of others, and observe social
ethics;
2. 注意人身安全、消防安全，防止不法侵害；
Pay attention to personal safety and fire safety. Prevent illegal infringement.
3. 与辅导员保持经常性有效联络
Keep in regular contact with the respective tutor.
我承诺：本人在校外期间发生的任何意外与沈阳航空航天大学无关，本人将承担全部责任。
Undertaking: Any accident I am involved in during the period while I’m off-campus has nothing to do with
Shenyang Aerospace University, and I will take full responsibility for it