Survey on the winter vacation

欢迎参加本次答题
Student ID?
    ____________
Name?
    ____________
If you leave before Jan. 29 and have no supervisor, please fill in this form, or you can skip 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?
    ____________
Emergency contact person's name? mail address? phone number?
    ____________

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