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["        长江大学高等教育自学考试本科毕业生学士学位申请与审批表"]
[]
["姓名",{"$nulls":3},"性别",null,null,"电子照片\n（与自考本科毕业证照片一致）"]
["民族",{"$nulls":3},"政治面貌"]
["身份证号",{"$nulls":3},"联系电话"]
["自考助学\n机构名称",{"$nulls":3},"自考注册\n省份","湖北省"]
["学习形式",null,"学习时间","二年","专业名称"]
["入学年月","             ",null,null,"毕业年月","           "]
["申请学士学位课程考试成绩","学位外国语成绩",null,"科目",null,null,"自考学位课程\n平均成绩"]
[{"$nulls":3},"分数"]
[null,"自考学位课程成绩           (必须填写科目和分数）",null,"课程名称"]
[{"$nulls":3},"分数"]
["自考毕业论文","成绩",null,"论文题目"]
["在校期间何时因何原因受过何种奖励处分"]
["助学机构\n审查意见*"]
[{"$nulls":5},"　　　　　　　　　（公章）"]
[{"$nulls":5},"          年      月      日"]
["长江大学继续教育学院成人本科学士学位审核工作组审核意见"]
[{"$nulls":5},"　　　　　　　　　（公章）"]
[{"$nulls":5},"          年      月      日"]
[]
[]
["注：1、此表所有项目必须填写。"]
["    2、学习形式分为非全日制、全日制二种。"]