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["安徽中医药高等专科学校"]
["补考申请表"]
[]
["班级",null,"学生姓名",null,"学号"]
["补考课程"]
["事由",{"$nulls":3},"辅导员核实(签名)"]
[]
["系部主任审核",{"$nulls":3},"签名"]
["教务处长审核",{"$nulls":3},"签名"]
["校长     审批",{"$nulls":3},"签名"]
["补考后成绩(附系部原始成绩)"]
["备注:本表一式二份(教务处、系部各一份）。"]
["教 务 处"]
["年   月    日"]