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["湖北医药学院继续教育学院2025年成人高等教育本科毕业生\n学位课程考试报名表"]
["姓名",null,"性别",null,"出生日期",null,"\n照片\n\n2寸蓝底彩照两张，与毕业证照片一致。\n\n为方便使用照片，请在照片背面用铅笔写上姓名一起放入照片袋封好，将照片袋贴在此处。"]
["身份证号",{"$nulls":3},"联系电话"]
["本科在校学习时间",null,"至"]
["专业",null,"学制","     年","必修课成绩是否全部合格"]
["考生所属","校本部","班级名称",null,null,"学号"]
["学位外语水平测试通过方式",null,"通过时间",null,"合格证号或证书编号",null,null,"审核人签字：\n\n"]
["学籍审核","\n      \n\n\n      审核人签字：",null,null,"身份证复印件（只粘贴有头像的一面）"]
["填表说明：\n    1、申请人须本着诚信原则如实填写，照片必须为本人，学号、姓名、身份证号、学制与学籍保持一致。\n    2、“考生所属”填写校本部或校外教学点名称。\n    3、“学位外语水平测试通过方式”填写成人学位外语或者CET4、CET6。\n    4、“审核”由学校填写。\n    5、电子表格填写完成后打印出来，贴上照片，按报名通知要求完成审核后交曾老师。"]