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["四川工业科技学院学生退学审批表"]
[]
[{"$nulls":4},"填表时间：        年      月       日"]
["姓  名",null,"年 级",null,"专  业",null,"班 级"]
["学  号",{"$nulls":3},"联系电话"]
["身份证号"]
["申请退学原因并附个人申请"]
[]
["所在班辅导员与其谈话内容及意见"]
["所在二级学院意见"]
["教 务 处 意见"]
["分管校领导意见"]
["学籍科对学籍状态处理结果"]
["办结离校手续"]
["图书馆",{"$nulls":3},"公寓        管理科"]
["招办备案",{"$nulls":3},"计财处"]
["注：本表一式两份，一份存学籍科，一份交计财处。"]
[{"$nulls":6},"教务处学籍科制"]