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培养与学籍  首页 > 研究生教育 > 培养与学籍
北京信息科技大学补办研究生学生证申请表
2018年05月24日
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<p align="center" class="MsoNormal" style="text-align: center"><b><span style="font-size: 16pt; font-family: 黑体">北京信息科技大学</span></b></p>
<p align="center" class="MsoNormal" style="text-align: center"><b><span style="font-size: 16pt; font-family: 黑体">补办研究生学生证申请表</span></b></p>
<p align="center" class="MsoNormal" style="text-align: center"><b><span lang="EN-US" style="font-size: 16pt; font-family: 黑体">&nbsp;</span></b></p>
<p class="MsoNormal"><b><span lang="EN-US" style="font-size: 12pt; font-family: 宋体"><span>&nbsp;</span></span></b><span style="font-size: 12pt; font-family: 宋体">学院(部、中心):<span lang="EN-US"><span>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>专业:<span lang="EN-US"><span>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>年<span lang="EN-US"><span>&nbsp;&nbsp;&nbsp;&nbsp; </span></span>月<span lang="EN-US"><span>&nbsp;&nbsp; </span></span>日</span></p>
<table width="651" class="MsoNormalTable" style="border-top: medium none; border-right: medium none; border-collapse: collapse; border-bottom: medium none; border-left: medium none" border="1" cellspacing="0" cellpadding="0">
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            <p class="MsoNormal"><span style="font-size: 12pt; font-family: 宋体">姓<span lang="EN-US"><span>&nbsp; </span></span>名</span></p>
            </td>
            <td width="84" style="border-top: windowtext 1.5pt solid; border-right: windowtext 1pt solid; width: 63pt; border-bottom: windowtext 1pt solid; padding-bottom: 0cm; padding-top: 0cm; padding-left: 5.4pt; border-left: medium none; padding-right: 5.4pt" colspan="2">
            <p class="MsoNormal"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
            <p class="MsoNormal"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
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            <td width="56" style="border-top: windowtext 1.5pt solid; border-right: windowtext 1pt solid; width: 42pt; border-bottom: windowtext 1pt solid; padding-bottom: 0cm; padding-top: 0cm; padding-left: 5.4pt; border-left: medium none; padding-right: 5.4pt">
            <p class="MsoNormal"><span style="font-size: 12pt; font-family: 宋体">学 号</span></p>
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            <td width="77" style="border-top: windowtext 1.5pt solid; border-right: windowtext 1pt solid; width: 57.75pt; border-bottom: windowtext 1pt solid; padding-bottom: 0cm; padding-top: 0cm; padding-left: 5.4pt; border-left: medium none; padding-right: 5.4pt">
            <p class="MsoNormal"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
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            <td width="56" style="border-top: windowtext 1.5pt solid; border-right: windowtext 1pt solid; width: 42pt; border-bottom: windowtext 1pt solid; padding-bottom: 0cm; padding-top: 0cm; padding-left: 5.4pt; border-left: medium none; padding-right: 5.4pt">
            <p class="MsoNormal"><span style="font-size: 12pt; font-family: 宋体">年 龄</span></p>
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            <td width="105" style="border-top: windowtext 1.5pt solid; border-right: windowtext 1pt solid; width: 78.75pt; border-bottom: windowtext 1pt solid; padding-bottom: 0cm; padding-top: 0cm; padding-left: 5.4pt; border-left: medium none; padding-right: 5.4pt">
            <p class="MsoNormal"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
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            <td width="63" style="border-top: windowtext 1.5pt solid; border-right: windowtext 1pt solid; width: 47.25pt; border-bottom: windowtext 1pt solid; padding-bottom: 0cm; padding-top: 0cm; padding-left: 5.4pt; border-left: medium none; padding-right: 5.4pt">
            <p class="MsoNormal"><span style="font-size: 12pt; font-family: 宋体">性 别</span></p>
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            <td width="147" style="border-top: windowtext 1.5pt solid; border-right: windowtext 1.5pt solid; width: 110.25pt; border-bottom: windowtext 1pt solid; padding-bottom: 0cm; padding-top: 0cm; padding-left: 5.4pt; border-left: medium none; padding-right: 5.4pt">
            <p class="MsoNormal"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
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            <td width="35" style="border-top: medium none; border-right: windowtext 1pt solid; width: 26.4pt; border-bottom: windowtext 1pt solid; padding-bottom: 0cm; padding-top: 0cm; padding-left: 5.4pt; border-left: windowtext 1.5pt solid; padding-right: 5.4pt" rowspan="4">
            <p class="MsoNormal"><span style="font-size: 12pt; font-family: 宋体">学</span></p>
            <p class="MsoNormal"><span style="font-size: 12pt; font-family: 宋体">生</span></p>
            <p class="MsoNormal"><span style="font-size: 12pt; font-family: 宋体">证</span></p>
            <p class="MsoNormal"><span style="font-size: 12pt; font-family: 宋体">内</span></p>
            <p class="MsoNormal"><span style="font-size: 12pt; font-family: 宋体">容登记</span></p>
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            <td width="84" style="border-top: medium none; border-right: windowtext 1pt solid; width: 63pt; border-bottom: windowtext 1pt solid; padding-bottom: 0cm; padding-top: 0cm; padding-left: 5.4pt; border-left: medium none; padding-right: 5.4pt" colspan="2">
            <p class="MsoNormal"><span style="font-size: 12pt; font-family: 宋体">专<span lang="EN-US"><span>&nbsp;&nbsp;&nbsp; </span></span>业</span></p>
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            <td width="217" style="border-top: medium none; border-right: windowtext 1pt solid; width: 162.75pt; border-bottom: windowtext 1pt solid; padding-bottom: 0cm; padding-top: 0cm; padding-left: 5.4pt; border-left: medium none; padding-right: 5.4pt" colspan="4">
            <p class="MsoNormal"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
            </td>
            <td width="105" style="border-top: medium none; border-right: windowtext 1pt solid; width: 78.75pt; border-bottom: windowtext 1pt solid; padding-bottom: 0cm; padding-top: 0cm; padding-left: 5.4pt; border-left: medium none; padding-right: 5.4pt">
            <p class="MsoNormal"><span style="font-size: 12pt; font-family: 宋体">学生所在</span></p>
            <p class="MsoNormal"><span style="font-size: 12pt; font-family: 宋体">学<span lang="EN-US"><span>&nbsp;&nbsp;&nbsp; </span></span>院</span></p>
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            <td width="210" style="border-top: medium none; border-right: windowtext 1.5pt solid; width: 157.5pt; border-bottom: windowtext 1pt solid; padding-bottom: 0cm; padding-top: 0cm; padding-left: 5.4pt; border-left: medium none; padding-right: 5.4pt" colspan="2">
            <p class="MsoNormal"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
            </td>
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            <td width="84" style="border-top: medium none; height: 28.9pt; border-right: windowtext 1pt solid; width: 63pt; border-bottom: windowtext 1pt solid; padding-bottom: 0cm; padding-top: 0cm; padding-left: 5.4pt; border-left: medium none; padding-right: 5.4pt" colspan="2">
            <p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 12pt; font-family: 宋体">籍<span lang="EN-US"><span>&nbsp;&nbsp;&nbsp; </span></span>贯</span></p>
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            <td width="217" style="border-top: medium none; height: 28.9pt; border-right: windowtext 1pt solid; width: 162.75pt; border-bottom: windowtext 1pt solid; padding-bottom: 0cm; padding-top: 0cm; padding-left: 5.4pt; border-left: medium none; padding-right: 5.4pt" colspan="4">
            <p class="MsoNormal"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
            </td>
            <td width="105" style="border-top: medium none; height: 28.9pt; border-right: windowtext 1pt solid; width: 78.75pt; border-bottom: windowtext 1pt solid; padding-bottom: 0cm; padding-top: 0cm; padding-left: 5.4pt; border-left: medium none; padding-right: 5.4pt">
            <p class="MsoNormal"><span style="font-size: 12pt; font-family: 宋体">乘车区间</span></p>
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            <td width="210" style="border-top: medium none; height: 28.9pt; border-right: windowtext 1.5pt solid; width: 157.5pt; border-bottom: windowtext 1pt solid; padding-bottom: 0cm; padding-top: 0cm; padding-left: 5.4pt; border-left: medium none; padding-right: 5.4pt" colspan="2">
            <p class="MsoNormal"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
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        <tr style="height: 29pt; page-break-inside: avoid">
            <td width="84" style="border-top: medium none; height: 29pt; border-right: windowtext 1pt solid; width: 63pt; border-bottom: windowtext 1pt solid; padding-bottom: 0cm; padding-top: 0cm; padding-left: 5.4pt; border-left: medium none; padding-right: 5.4pt" colspan="2">
            <p class="MsoNormal" style="line-height: 12pt"><span style="font-size: 12pt; font-family: 宋体">家庭住址</span></p>
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            <td width="217" style="border-top: medium none; height: 29pt; border-right: windowtext 1pt solid; width: 162.75pt; border-bottom: windowtext 1pt solid; padding-bottom: 0cm; padding-top: 0cm; padding-left: 5.4pt; border-left: medium none; padding-right: 5.4pt" colspan="4">
            <p class="MsoNormal" style="line-height: 12pt"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
            </td>
            <td width="105" style="border-top: medium none; height: 29pt; border-right: windowtext 1pt solid; width: 78.75pt; border-bottom: windowtext 1pt solid; padding-bottom: 0cm; padding-top: 0cm; padding-left: 5.4pt; border-left: medium none; padding-right: 5.4pt">
            <p class="MsoNormal" style="line-height: 12pt"><span style="font-size: 12pt; font-family: 宋体">领证签名</span></p>
            </td>
            <td width="210" style="border-top: medium none; height: 29pt; border-right: windowtext 1.5pt solid; width: 157.5pt; border-bottom: windowtext 1pt solid; padding-bottom: 0cm; padding-top: 0cm; padding-left: 5.4pt; border-left: medium none; padding-right: 5.4pt" colspan="2">
            <p class="MsoNormal" style="line-height: 12pt"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
            </td>
        </tr>
        <tr style="height: 29pt; page-break-inside: avoid">
            <td width="84" style="border-top: medium none; height: 29pt; border-right: windowtext 1pt solid; width: 63pt; border-bottom: windowtext 1pt solid; padding-bottom: 0cm; padding-top: 0cm; padding-left: 5.4pt; border-left: medium none; padding-right: 5.4pt" colspan="2">
            <p class="MsoNormal" style="line-height: 12pt"><span style="font-size: 12pt; font-family: 宋体">身份证号</span></p>
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            <td width="217" style="border-top: medium none; height: 29pt; border-right: windowtext 1pt solid; width: 162.75pt; border-bottom: windowtext 1pt solid; padding-bottom: 0cm; padding-top: 0cm; padding-left: 5.4pt; border-left: medium none; padding-right: 5.4pt" colspan="4">
            <p class="MsoNormal" style="line-height: 12pt"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
            </td>
            <td width="105" style="border-top: medium none; height: 29pt; border-right: windowtext 1pt solid; width: 78.75pt; border-bottom: windowtext 1pt solid; padding-bottom: 0cm; padding-top: 0cm; padding-left: 5.4pt; border-left: medium none; padding-right: 5.4pt">
            <p class="MsoNormal" style="line-height: 12pt"><span style="font-size: 12pt; font-family: 宋体">联系方式</span></p>
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            <td width="210" style="border-top: medium none; height: 29pt; border-right: windowtext 1.5pt solid; width: 157.5pt; border-bottom: windowtext 1pt solid; padding-bottom: 0cm; padding-top: 0cm; padding-left: 5.4pt; border-left: medium none; padding-right: 5.4pt" colspan="2">
            <p class="MsoNormal" style="line-height: 12pt"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
            </td>
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            <td width="651" valign="top" style="border-top: medium none; height: 89.55pt; border-right: windowtext 1.5pt solid; width: 488.4pt; border-bottom: windowtext 1pt solid; padding-bottom: 0cm; padding-top: 0cm; padding-left: 5.4pt; border-left: windowtext 1.5pt solid; padding-right: 5.4pt" colspan="10">
            <p class="MsoNormal"><span style="font-size: 12pt; font-family: 宋体">补办研究生证原因:</span></p>
            <p class="MsoNormal"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
            <p class="MsoNormal"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
            <p class="MsoNormal"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
            <p class="MsoNormal"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
            <p class="MsoNormal"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
            <p class="MsoNormal" style="text-indent: 264pt"><span style="font-size: 12pt; font-family: 宋体">签名:<span lang="EN-US"><span>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>年<span lang="EN-US"><span>&nbsp;&nbsp; </span></span>月<span lang="EN-US"><span>&nbsp;&nbsp; </span></span>日</span></p>
            <p class="MsoNormal"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
            </td>
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        <tr style="height: 70.8pt; page-break-inside: avoid">
            <td width="651" valign="top" style="border-top: medium none; height: 70.8pt; border-right: windowtext 1.5pt solid; width: 488.4pt; border-bottom: windowtext 1pt solid; padding-bottom: 0cm; padding-top: 0cm; padding-left: 5.4pt; border-left: windowtext 1.5pt solid; padding-right: 5.4pt" colspan="10">
            <p class="MsoNormal"><span style="font-size: 12pt; font-family: 宋体">班主任意见:</span></p>
            <p class="MsoNormal"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
            <p class="MsoNormal"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
            <p class="MsoNormal"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
            <p class="MsoNormal"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
            <p class="MsoNormal"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体"><span>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span><span style="font-size: 12pt; font-family: 宋体">签名:<span lang="EN-US"><span>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>年<span lang="EN-US"><span>&nbsp;&nbsp; </span></span>月<span lang="EN-US"><span>&nbsp;&nbsp; </span></span>日<span lang="EN-US"> </span></span></p>
            </td>
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            <td width="651" valign="top" style="border-top: medium none; border-right: windowtext 1.5pt solid; width: 488.4pt; border-bottom: windowtext 1pt solid; padding-bottom: 0cm; padding-top: 0cm; padding-left: 5.4pt; border-left: windowtext 1.5pt solid; padding-right: 5.4pt" colspan="10">
            <p class="MsoNormal"><span style="font-size: 12pt; font-family: 宋体">研究生院意见:</span></p>
            <p class="MsoNormal"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
            <p class="MsoNormal"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
            <p class="MsoNormal"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体"><span>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><span style="font-size: 12pt; font-family: 宋体">负责人( 签名):</span></p>
            <p class="MsoNormal"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体"><span>&nbsp;</span></span></p>
            <p class="MsoNormal"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体"><span>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><span style="font-size: 12pt; font-family: 宋体">(盖公章)<span lang="EN-US"><span>&nbsp;&nbsp;&nbsp;&nbsp; </span></span>年<span lang="EN-US"><span>&nbsp;&nbsp; </span></span>月<span lang="EN-US"><span>&nbsp;&nbsp; </span></span>日</span></p>
            </td>
        </tr>
        <tr style="page-break-inside: avoid">
            <td width="651" valign="top" style="border-top: medium none; border-right: windowtext 1.5pt solid; width: 488.4pt; border-bottom: windowtext 1.5pt solid; padding-bottom: 0cm; padding-top: 0cm; padding-left: 5.4pt; border-left: windowtext 1.5pt solid; padding-right: 5.4pt" colspan="10">
            <p class="MsoNormal"><span style="font-size: 12pt; font-family: 宋体">备注:</span></p>
            <p class="MsoNormal"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
            <p class="MsoNormal" style="text-indent: 36pt"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">1</span><span style="font-size: 12pt; font-family: 宋体">、 附一张一寸免冠照片,在照片背面写上姓名和学号。</span></p>
            <p class="MsoNormal" style="margin-left: 59.9pt; text-indent: -24pt"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">2</span><span style="font-size: 12pt; font-family: 宋体">、 补证时间和地点:每年集中办理两次,<span lang="EN-US">5</span>月<span lang="EN-US">20</span>日—<span lang="EN-US">30</span>日和<span lang="EN-US">11</span>月<span lang="EN-US">20</span>日—<span lang="EN-US">30</span>日到研究生院办理。</span></p>
            <p class="MsoNormal" style="margin-left: 47.9pt; text-indent: -12pt"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">3</span><span style="font-size: 12pt; font-family: 宋体">、 取证时间和地点:<span lang="EN-US">6</span>月<span lang="EN-US">10</span>日和<span lang="EN-US">12</span>月<span lang="EN-US">10</span>日以后到研究生院。</span></p>
            <p class="MsoNormal" style="text-indent: 36pt"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">4</span><span style="font-size: 12pt; font-family: 宋体">、 <span lang="EN-US">“</span>补办研究生证申请表<span lang="EN-US">”</span>要事实求是的填写,如发现有与实际不符者,</span></p>
            <p class="MsoNormal" style="text-indent: 60pt"><span style="font-size: 12pt; font-family: 宋体">后果自负。</span></p>
            <p class="MsoNormal" style="text-indent: 60pt"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
            </td>
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        <tr height="0">
            <td width="35" style="border-top: medium none; border-right: medium none; border-bottom: medium none; border-left: medium none">&nbsp;</td>
            <td width="28" style="border-top: medium none; border-right: medium none; border-bottom: medium none; border-left: medium none">&nbsp;</td>
            <td width="56" style="border-top: medium none; border-right: medium none; border-bottom: medium none; border-left: medium none">&nbsp;</td>
            <td width="28" style="border-top: medium none; border-right: medium none; border-bottom: medium none; border-left: medium none">&nbsp;</td>
            <td width="56" style="border-top: medium none; border-right: medium none; border-bottom: medium none; border-left: medium none">&nbsp;</td>
            <td width="77" style="border-top: medium none; border-right: medium none; border-bottom: medium none; border-left: medium none">&nbsp;</td>
            <td width="56" style="border-top: medium none; border-right: medium none; border-bottom: medium none; border-left: medium none">&nbsp;</td>
            <td width="105" style="border-top: medium none; border-right: medium none; border-bottom: medium none; border-left: medium none">&nbsp;</td>
            <td width="63" style="border-top: medium none; border-right: medium none; border-bottom: medium none; border-left: medium none">&nbsp;</td>
            <td width="147" style="border-top: medium none; border-right: medium none; border-bottom: medium none; border-left: medium none">&nbsp;</td>
        </tr>
    </tbody>
</table>
<p class="MsoNormal" style="text-indent: 361.15pt"><b><span style="font-size: 9pt; font-family: 宋体">制表单位:研究生院</span></b><span lang="EN-US" style="font-size: 12pt; font-family: 宋体"><span>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span><span>&nbsp;</span></span></p>
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