e:年Year月Month日Day
研究生处
意见
（盖章）
Graduate Students Affairs Stamp of Approval
Date:年Year月Month日Day
注：延期学习期间需向学校缴纳相应学费；留学生需国际教育学院签意见。
Note:
-- Students applying for extension of study are required to pay tuition for the duration of the extension.
中国美术学院研究生延长学习期申请表
China Academy of Art
Application Form for
Extension of Studyfor Graduate Students
姓名
Name
性别
Sex
学制
Length of Program
系别Department
学号Student Number
-- Overseasstudents must have the stampof approval from the Office ofCollegeof International Education.
Signature签名:
Date:年Year月Month日Day
系/二级分院意见
（盖章）
Department and College Stamp of Approval
Date:年Year月Month日Day
国际教育
学院意见
（盖章）
Office of theCollegeof International Education Stamp of Approval
层次
Level of Program
延长时间
ExtensionDates
From年year月month to至年year月month
延长学习期原因
Reason forExtension
Student’s signature学生签名:
Date:年Year月Month日Day
导师意见
Advisor’s
Statement