声 明
本人 ,授权及同意中国留学服务中心(CSCSE)使用本人的个人信息和资料,向相关学校或机构就本人学历学位的有关事项进行核查。同时也授权并同意相关学校或机构可就核查内容,向CSCSE透露有关本人学历学位的任何记录及资料。
Declaration
I, undersigned , hereby give my consent to the Chinese Service Center for Scholarly Exchange ( CSCSE )to use my personal information for purpose of education/degree verification with any relevant schools/organizations. I also give my consent to the mentioned above schools/organizations to release my record or information to CSCSE as may be required.
个人信息 Personal Data (以下信息请用英文填写)
姓名(Name) 出生日期(DoB)
学号(Student ID)
就读课程(Programme of Study)
学习时间(Period of Study)
申请人签名 日期
Signature of the applicant Date
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