转中心申请与记录单
Partly Transfer Application and Record Form
注册中心Home Center_____________________接收中心Receiving Center___________________________
客户信息Customer Information
宝宝姓名Child’s Name_______________________宝宝昵称Child’s nick name _________________________
家长姓名Parents' name______________________ 联系电话Phone number____________________________
申请原因Reasons for Application_______________________________________________________________
合约编号Contract Number ___________________ 所报课程包Enrolled Package _______________________
剩余课时数Surplus class number ______________转入课时数Visiting class number____________________
合约有效期Valid dates_____________________________
赠课不可转Giving curriculum cannot leave registration center。
顾客签名Customer Signature___________________日期Date__________________
注册中心CD审批Home Center Director Approval
注册中心CD签名Home Center Director Signature___________________日期Date_________________
(必须将审批后的申请单及课程协议副本传真到访问中心备案 Must fax approved form to visiting center with a copy of the enrollment contract)
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接收中心CD签名Rece