异地就学申请书___________，性别_____，出生于_____年___月___日，现为______________________学校______年级学生，原居住在_________________________________________________，现居住在______________________________________________________，因为________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________，拟申请到_______________学校就读，请领导审批。承诺以上信息真实可信，如与实际不符，愿回原校就读。监护人签字：手机：年月日第1页共1页
