学校免责声明范本【学生旅游免责声明】

-------大学学生假期外出安全责任书

The safety responsibility agreement for ---------University

traveling

姓名 Name ：

国籍 Nationality ：

护照号码 Passport No.

出生日期 Birth Date：

本人申请于 ____年____月 ___日至____年____月 ___日去________________________________________(地点) 旅行。

在此期间出现的任何问题及责任由本人自行承担，与-------------大学无关。特此声明！

I applied to internship from ____Y____M ___D to ___Y___M ____ D in________________________________________(Destination).

During this period, I volunteered to undertake any responsibility and problems which are not related to -----------------University.

Student ’s Signature: Date: Telephone No.:

--------------------- University

International School Office