学生姓名English Name:__________中文名Chinese Name: _______宿舍号Room No. : ______国籍： ___________性别：_____ 联系方式Tel. : _____________体温：______________身体症状：¨发热 ¨咳嗽 ¨头疼 ¨乏力 ¨其他症状
值班老师意见并签字： 辅导员签字： 主管领导意见并签字：
Notification to international students of Medical College asking for leave during the period of prevention and control of pneumonia by new coronavirus infection
Recently, provinces and cities have launched the "first level response" to public health emergencies. According to the notice of Henan Provincial Department of education on the control of pneumonia epidemic situation caused by new coronavirus infection in schools, in order to effectively prevent, timely control and eliminate the outbreak and spread of pneumonia epidemic situation caused by new coronavirus infection, and effectively guarantee the health of teachers and students. The following is the notice for all international students to ask for leave during the winter holiday epidemic prevention and control period:
In principle, students who stay in school are not allowed to leave Luoyang. Students should take protective measures in the dormitory, ventilate every day, wash their hands frequently, check their temperature every day, and wear effective masks. In case of physical discomfort, such as dry cough, fever, weakness and shortness of breath, please inform the resident management teacher and counselor teacher. The doctor on duty of the school hospital will accompany the overseas students to the designated hospital for diagnosis and treatment.
If you have to leave Luoyang (for domestic travel or return to China) in special circumstances, report to the counselor teacher and the supervisor teacher, submit the leave application, sign the notice and obtain the signature and consent of the main management leaders of the school before leaving the school.
On the way out, please protect your personal and property safety, wear an effective anti-epidemic mask and keep away from the epidemic area. Carefully register the route and time of the journey. If there is any change of the place and time, please inform the teacher in time.
Take responsibility for safety and all other responsibilities during the journey!
Note: registration of information and temperature test of international students
Physical symptoms: fever, cough, headache, fatigue, other symptoms
Dorm Teacher’s signature: counselor’s signature: leader’s signature:
I have carefully read and understood all the contents of the above notice. I voluntarily apply for going out and bear all the safety and other responsibilities during the journey.
Signature of international student: Date:
Medical College of Henan University of science and technology
January 27, 2020