学生信息 STUDENT INFORMATION

学生姓名Student’s Full Name：

学生国籍Nationality of Student:

担保人信息SPONSOR INFORMATION：

担保人姓名Sponsor’s Full name:

担保人国籍Nationality of Sponsor:

担保人职业Occupation of Sponsor:

邮箱Email: 电话Phone:

目前地址Address:

担保人与学生的关系Relationship to Student:

□家庭Family □朋友Friend

□公司Company (如果某公司作为担保人，请用公司抬头纸打印担保信If a company is your sponsor, please provide a sponsorship letter on the company letterhead).

□其他other (Please specify):

我愿做____________________在淮阴工学院学习期间的经济担保人，保证该生按时缴纳各种费用，该生不能支付有关费用时，由我负责支付。

I am willing to be the financial supporter of Mr./Mrs. ________________________during his /her stay atHuaiyin Institute of Technologyas a student. I will make sure that he /she pay all the fees on time, and I will pay all the fees which he /she would fail to pay.

担保人签字/ Sponsor signature:___________________ 日期/date:______________________

学生签字/ Student signature:_______________________日期/date:_____________________