Survey on the winter vacation

Q1:Student ID?

Q2:Name?

Q3:If you leave before Jan. 29 and have no supervisor, please fill in this form, or you canskip it (students have supervisor fill in the Absence form in mail, get the signature form supervisor and hand it to me). When will you (plan to) leave from Beijing?

Q4:Emergency contact person's name? mail address? phone number?