전입학양식,중고등-4

Student Report

生 活 记 录 册 补 充 资 料                                                                                                                                      To :  Shanghai Korean School

School Name/学校名称
Student's Name/学生姓名
Current Grade/学年/班级
Homeroom Teacher/ 班主任
Attendance Report(Recent 1.5 years ) 授课情况（近三个学期)
Grade 学年		School days 授课 日数			Number of Absence 缺席次数		Reason 理由
					Number of Lateness 迟到次数		Reason 理由
					Number of Leaving Early 早退次数		Reason 理由
					Number of Skipping Class 缺课次数		Reason 理由
Grade 学年		School days 授课 日数			Number of Absence 缺席次数		Reason 理由
					Number of Lateness 迟到次数		Reason 理由
					Number of Leaving Early 早退次数		Reason 理由
					Number of Skipping Class 缺课次数		Reason 理由
Grade 学年		School days 授课 日数			Number of Absence 缺席次数		Reason 理由
					Number of Lateness 迟到次数		Reason 理由
					Number of Leaving Early 早退次数		Reason 理由
					Number of Skipping Class 缺课次数		Reason 理由
A Record of Discipline 处分记录					▶Suspension : ( ) times ▶Detention : ( ) times		▶书面警告 : ( ) times ▶记大过 : ) times
Contact Details of Tutor 负 责人
School Fax Number 传真号码

This is to certify that the information  provided in this form is true and correct.

20   .     .     .

Homeroom Teacher's signature : _______________________

Principal's signature : _______________________