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["三明学院学生延期修读申请表"]
["个人基本情况","学号",null,null,"姓名",null,"所在学院"]
[null,"专业",null,null,"班级",null,"联系电话"]
["申请延期修读原因"]
["修读课程情况","应修学分",{"$nulls":3},"已获学分",null,"未获学分"]
[null,"课程名称",{"$nulls":5},"课程性质","学分"]
[null,"未通过课程情况"]
[]
[]
[]
[]
[]
["    申请人拟申请延期修读，跟     级学生参加毕（结）业资格审核，计划于     年   月毕（结）业离校。                                                                          \n                                                         申请人签字：\n                                                                 年   月   日                                                                                                                                                                                                            "]
["家长意见\n                                                                                                                                                                                                                                            ","\n\n                                                     签字： \n                                                            年   月   日 "]
["学院意见\n                                                                                                                                                                                                                                            ","\n\n                                                     签字： \n                                                            年   月   日 "]
["教务处意见","                                                                                       \n                                                     签字：\n                                                            年   月   日                                         "]
["备注：本表一式三份，教务处、二级学院、学生各执一份。"]

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