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["上海健康医学院附属卫生学校"]
["课程重修申请表"]
["姓名",{"$nulls":4},"学号"]
["原属学院",{"$nulls":4},"班级"]
["申请重修课程"]
["序号","课程名称",{"$nulls":3},"重修形式"]
[1,{"$nulls":4},"□跟班重修        □自主重修"]
[2,{"$nulls":4},"□跟班重修        □自主重修"]
[3,{"$nulls":4},"□跟班重修        □自主重修"]
[4,{"$nulls":4},"□跟班重修        □自主重修"]
["原属学院\n意见"]
[]
[null,null,"学院院长签名：　　　　 （学院盖章）　　　　　年　月　日"]
["教务科\n意见"]
[]
[null,null," 教务负责人签名：　　　　（部门盖章）　　　　年　月　日"]
["   重修须知： 1、单门课程重修及考核以1次为限，不设补考。                                                                              "]
["               2、重修考核未及格者，维持结业。"]
["               3、选择跟班重修者只能在该课程开设的当学期申请。"]
["               4、集中实践课程必须跟班重修。"]
[]
["             我已知道并同意重修相关规定和要求。                                                                                                                        "]
["               学生签名：",{"$nulls":4}," 家长签名："]
["          年    月    日 ",{"$nulls":4}," 年    月    日 "]
[" 1、申请流程：填写重修申请表→原属学院审核、盖章→教务科审核、盖章"]
[" 2、重修形式：可选择“跟班重修”或“自主重修”"]
[" 3、重修申请在每学期开学2周内办理，其它时间不受理。"]
[" 4、此表一式三份，学生、原属学院、教务处各保存一份。",null,null,"教务科各保存一份。"]

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