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北京信息科技大学研究生休学申请表
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">研究生休学申请表</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"><span lang="EN-US" style="font-size: 14pt"><span>&nbsp;</span></span><span style="font-size: 12pt; font-family: 宋体">学</span><span style="font-size: 12pt; font-family: 宋体">院 (部、中心)名称:<span lang="EN-US"><span>&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; </span><span>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span>年<span lang="EN-US"><span>&nbsp; </span></span>月<span lang="EN-US"><span>&nbsp; </span></span>日</span></p>
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            <p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 12pt; font-family: 宋体">学<span lang="EN-US"><span>&nbsp;&nbsp; </span></span>号</span></p>
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            <p align="center" class="MsoNormal" style="text-align: center"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
            <p align="center" class="MsoNormal" style="text-align: center"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
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            <p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 12pt; font-family: 宋体">姓名</span></p>
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            <p align="center" class="MsoNormal" style="text-align: center"><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 align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 12pt; font-family: 宋体">性别</span></p>
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            <p align="center" class="MsoNormal" style="text-align: center"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
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            <td width="95" style="border-top: medium none; border-right: windowtext 1pt solid; width: 71pt; 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">
            <p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 12pt; font-family: 宋体">学<span lang="EN-US"><span>&nbsp;&nbsp; </span></span>院</span></p>
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            <p align="center" class="MsoNormal" style="text-align: center"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
            <p align="center" class="MsoNormal" style="text-align: center"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
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            <td width="60" style="border-top: medium none; border-right: windowtext 1pt solid; width: 45pt; border-bottom: windowtext 1pt solid; padding-bottom: 0cm; padding-top: 0cm; padding-left: 5.4pt; border-left: medium none; padding-right: 5.4pt">
            <p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 12pt; font-family: 宋体">专业</span></p>
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            <td width="344" style="border-top: medium none; border-right: windowtext 1.5pt solid; width: 258pt; border-bottom: windowtext 1pt solid; padding-bottom: 0cm; padding-top: 0cm; padding-left: 5.4pt; border-left: medium none; padding-right: 5.4pt" colspan="3">
            <p align="center" class="MsoNormal" style="text-align: center"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体">&nbsp;</span></p>
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            <td width="651" valign="top" style="border-top: medium none; height: 97.4pt; 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="6">
            <p class="MsoNormal"><span style="font-size: 12pt; font-family: 宋体">申请休学理由:</span></p>
            <p class="MsoNormal"><span style="font-family: 宋体">(附本人申请)</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;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><span style="font-size: 12pt; font-family: 宋体">申请人:<span lang="EN-US"><span>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>年<span lang="EN-US"><span>&nbsp;&nbsp; </span></span>月<span lang="EN-US"><span>&nbsp; </span></span>日</span></p>
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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="6">
            <p class="MsoNormal"><span style="font-size: 12pt; font-family: 宋体">休学时间:</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="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="6">
            <p class="MsoNormal"><span style="font-size: 12pt; font-family: 宋体">导师意见:</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;&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;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>年<span lang="EN-US"><span>&nbsp;&nbsp; </span></span>月<span lang="EN-US"><span>&nbsp; </span></span>日</span></p>
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            <td width="651" valign="top" style="border-top: medium none; height: 88.45pt; 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="6">
            <p class="MsoNormal"><span style="font-size: 12pt; font-family: 宋体">学院意见:</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">&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: 60pt"><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><span style="font-size: 12pt; font-family: 宋体">主管领导签字:<span lang="EN-US"><span>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>(单位公章)</span></p>
            <p class="MsoNormal" style="text-indent: 234pt"><span lang="EN-US" style="font-size: 12pt; font-family: 宋体"><span>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><span style="font-size: 12pt; font-family: 宋体">年<span lang="EN-US"><span>&nbsp;&nbsp; </span></span>月<span lang="EN-US"><span>&nbsp; </span></span>日</span></p>
            </td>
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        <tr style="height: 80.55pt; page-break-inside: avoid">
            <td width="651" valign="top" style="border-top: medium none; height: 80.55pt; 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="6">
            <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">&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; </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; </span></span><span style="font-size: 12pt; font-family: 宋体">主管领导签字:<span lang="EN-US"><span>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>(单位公章)<span lang="EN-US"><span>&nbsp;&nbsp;&nbsp; </span></span>年<span lang="EN-US"><span>&nbsp;&nbsp; </span></span>月<span lang="EN-US"><span>&nbsp; </span></span>日</span></p>
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<p class="MsoNormal" style="text-indent: 397.2pt"><b><span style="font-size: 9pt; font-family: 宋体">制表单位:研究生院</span></b></p>
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