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How to write an application for leaving dormitory in high school

The application must clearly state the reasons for withdrawal. The specific format is as follows:

1. First, you need to write the title: Application for Check-out.

2. Then write your name, student number, and grade in the text. The content of the text is as follows: I applied to withdraw from the dormitory because of XXXXX (reason), and I shall bear all consequences. Looking forward to approval.

3. The format needs to be right-aligned, state the time of application, then right-aligned, write your signature, finally greet the leader, and then write the reason for leaving the hotel.