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["柳州职业技术学院学生证补办申请表"]
["基本情况","学号（原学生证号）",null,"系（部）"]
[null,"姓名",null,"年级、专业"]
[null,"性别",null,"乘车区间","柳州站至         站"]
[null,"民族",null,"入学时间"]
[null,"出生年月","     年   月  日","联系电话"]
[null,"学制",null,"家庭住址"]
[" 申请理由：                            "]
[]
[]
[]
[{"$nulls":3},"签名：","     年    月    日"]
[]
[]
[" 辅导员（班主任）意见："]
[]
[]
[{"$nulls":3},"签名：","     年    月    日"]
[]
[]
[" 系（部）意见："]
[]
[]
[]
[{"$nulls":3},"签名：（盖章） ","     年    月    日"]
[]
[]
[" 学生工作处受理情况："]
["    该生已经在                办理遗失登报，手续齐全，受理补办申请。并在三个"]
["工作日内办妥。"]
[]
[{"$nulls":3},"经办人：","     年    月    日"]
[]
[" 注：1、补办学生证者需交申请表1份、免冠1寸近照1张；"]
["     2、学生证遗失者，应到报社办理挂失手续，凭遗失声明办理相关补办手续。"]

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["序号","班 级","姓名","学号","联系电话","手续是否齐全","受理时间","经办人","签领签名","签领日期"]

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