*This form should be completed by the school official who filled the document B. Please print out this page. Signature of the school official and an official stamp of the school are required.

Academic Record (Attachment)                                         
                                                             Name of the student:      

===== STATEMENT OF AGREEMENT =====

I hereby confirm that the information on the document B is all true. 

Name of the school official:                              position:      

Signature:

Stamp: