留学生申请回国实习声明书.docx

学号IDNo.中文名CNName英文名ENName年级Batch性别Gender国籍NationalityTelNo.电子邮箱Email实习单位InternshipHospital实习医院所在国家InternshipCountry实习期间InternshipDurationFrom YYYY_MM_DDto_YYYY_MM DD请附住院相关材料PIeaSeattachthebasicinformationOfthehospital.1 .本人回国实习的计划已告知我的父母和家人，并得到他们的同意与支持定已充分考虑南京医科大学国际教育学院对于海外实习感染COVID-19风险的2 .MyfamilymembersincludingmyparentshavebeeninformedthatIwillcompleteinternshipinmyowncountryandIhavebeenprovidedwiththeirsupport.Beforemadethisdecision,thewarningfromSIE,NMUhasbeenseriouslyconsideredthatCOVID-19infectionduringtheinternship.3 .本人将按照南京医科大学留学生实习大纲的要求完成实习，实习医院应具备完成大纲要求的硬件和师资要求，并被本国医学会认可。

2.1 willstrictlyabidebyeverytermoftheInternshipSyllabusinordertocompletemyinternshipinthehospitalwiththequalifiedequipmentsandteachersmatchingthecorrespondingrequirementsinInternshipSyllabus.Thehospitalshouldbeadmittedbythelocalcountry'sMedicalCouncil.3.本人承诺将于20一年—月—日和20—年—月一日向学校提交实习情况报告如预计超过一年未能完成临床实习，将于20—年一月—日前提交延期实习申请3.1 sincerelypledgethatIwillsubmitmyinternshipreporttoSIEon,2021and,20.IfIamunabletocompletetheinternshipwithinoneyear,IwillapplyforanextensionofinternshipBEFORE,204.本人将确保实习期间与南京医科大学国际教育学院的联系，如未能按期提交相关报告或失联，将自行承担应相应后果。

本人已确认是否已全部通过以往课程情况，并已充分考虑可能产生的延期毕业后果4.IsincerelypledgethatIW川keepintouchwithSIEduringthe1-yearinternship.IshallbebearanyresponsibilityifIcannotsubmittheinternshipreportontimeorhavelostcontactwithSIE,NMU.Ihavecheckedwhetherhavepassedallthesubjectsbefore,andIhaveconsideredallthepossibilitiesmayhappen,includingextension.备注：如学生自应提交实习报告之日起10日内仍未与学院取得联系，学院将保留进一步追究直至取消该生学籍之权利Note:TheSchoolofInternationalEducationremainstherighttocancelstudents*enrollmentstatusifsomeonehaslostcontactwithSIEwithin10daysfromthescheduledreportsubmissiondate.学生签名/Student'sSignature:日期/Date: 父母签名/Parent'sSignature:日期/Date:。