[서식.6] 퇴소시 생활관 관리실 제출☞ 인턴용 퇴소원서이며, 진학시 학번으로 재입소바랍니다.
<Application for Withdrawal from Dormitory  퇴  소  원  서 (인턴용)>
< Department><(예시) 화학과><Student No.><기재하지 않음>
<Name>< 홍 길 동 ><Bldg. Room No.><>
<Entering Date><2025. 06. ><Contact><☎ 010-         -           >
< Expected date of withdrawal><   2025 .       .        .><Reason for Withdrawal><□인턴종료 □인턴종료 & 입학예정자>
<Facilities Check List (※ After check the facilities, Please submit this form to the Dormitory Manager)>
<Item><Facilities Condition (Check If any)><Item><Facilities Condition (Check If any)>
<Entrance-Door><><Balcony ><>
<Bed-Mattress><><Door/Window(Damage)><>
<Bed Clothes><><Electricity Facilities><>
<Living Room><><Heating System><>
<Bathroom (Bathtub, toilet etc)><><Cleaning & Key><>
<Desk & Chair & Bookshelf><><Internet Pot & Line><>
<Domitory Fee><   □ 개인납부       □ 학과납부>
<The applicant requests approval for withdrawal from dormitory housing and reimbursement of the dormitory deposit. Date  2025  .      .      .  Applicant :      >