国际学生疫情防控备案表International students form for epidemic prevention and control

各位亲爱的同学们:

学校将于2月21日开始正式开课。根据学校疫情防控要求,所有境内学生需要填写《国际学生疫情防控备案表》,上报健康码截图、14天内动态行程卡以及相关信息。请于2月14日至2月18日前提交材料,逾期未报者不得出入学校。


Hi dear students,

The school will officially open on February 21. According to the requirements of the school , all international students in China needs to fill International student's form for epidemic prevention and control, students should upload the screenshot of health code, travel status within 14 days and other relevant information. Please submit materials between February 14 to February 18. Those who fail to report within the time limit are not allowed to enter and leave the school.

学号

Student Number

    ____________
学生类别

Student category

本科生 Bachelor
硕士生 Master
博士研究生 Doctoral
语言生 Language Student
预科生 Foundation Student
护照姓名( 全英文大写

Passport Name ( Must be Capital letters

    ____________
性别 

Gender

男 Male
女 Female
国籍( 尽量写中文

Nationality ( Better be in Chinese )

    ____________
护照号码

Passport Number

    ____________
手机号码

Phone Number

    ____________
当前所在地

Current Location

校内 Inside school
青岛校外 Outside school in Qingdao
市外省内 Outside Qingdao but in Shangdong province
省外 Outside Shandong province
详细地址

Detailed address

    ____________
您的健康码是否为绿码?

Is your health code green?

是 Yes
否 No
健康码截图    *附件 1

Screenshot of your Health code  *Material 1

点击进行拍照
接种疫苗情况

Vaccination status  

未接种 Not vaccinated
接种第一针 Did my first shot
接种第二针 Did my second shot
接种三针 Did my third shot
疫苗接种截图    *附件2

Screenshot of vaccination status  *Material 2

点击进行拍照
14天内行程  

Travel information within 14 days

无 None
出市 Traveled outside City
出省 Traveled Outside Province
14天行程卡截图    *附件3

Screen shot of travel status within 14 days  *Material 3

点击进行拍照
核酸检测证明截图(选填)    *附件4

Screenshot of Nucleic acid test prove (Optional)  *Material 4

点击进行拍照

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