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NIS Student Bus Application Form



NIS Student Bus Application Form

(Semester 1, 2010-11 School Year)

Family Information 家庭信息

Parent Name 家长姓名 ______________________________
Parent Mobile 家长手机 _____________________________  
Home Phone 家庭电话 ______________________________
Email 电子邮箱 ____________________________________
Home Address 家庭地址______________________________

Student  Information 学生信息

1. Name 姓名 ________________________  Grade 年级 ______
    Mobile手机 ________________________  Stop   站点 ______

2. Name 姓名 ______________________      Grade 年级 ______
    Mobile手机 ________________________  Stop   站点 ______

3. Name 姓名 ________________________  Grade 年级 ______
    Mobile手机 ________________________   Stop   站点 ______

Pick-Up point 上落点 _____________________________
Semester Bus Fee 本学期车费 RMB 人民币 __________

Home Caught issue tax receipt (fapiao) for all payments. If you need a company name in the title, please indicate below


Signature of Parent 家长签名 __________________________
Date 日期 _______________



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