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["安徽中医药高等专科学校"]
["缓考申请表"]
[]
["20  /20    学年度第   学期"]
[]
["学生姓名",null,"班级",null,"学号"]
["起止时间",null,"考试课程"]
["本人事由(生病必须有医院诊断证明)"]
["辅导员   审核",{"$nulls":3},"签名"]
["保健科审核意见",{"$nulls":3},"签名"]
["系部主任审核",{"$nulls":3},"签名"]
["教务处  处长审批",{"$nulls":3},"签名"]
["备注:本表一式二份(教务处、系部各一份）。"]
["教  务  处"]
["年   月   日"]