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["自 愿 放 弃 入 学 资 格 申 请 表"]
["姓  名",null,"学  号",null,"班  级"]
["放弃入学资格原因","\n\n\n\n\n\n\n\n\n\n学生签字：                          时间："]
["学生家长意见",null,"家长签字：",null,"时间："]
["学部\n生门\n所意\n在见","\n\n\n\n\n\n\n\n主管领导签字（章）：                         时间："]
["教务处意见","\n\n\n\n\n\n主管领导签字（章）：                         时间："]
["备注"]
["注：1、此表一式三份（教务处、学生所在部门、学生本人）。\n   "]