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["江南大学现代远程教育课程免修申请表"]
["_______________奥鹏学习中心",{"$nulls":10},"编号："]
["姓名",{"$nulls":3},"身份证号",null,null,"层次",null,"批次",null,"专业"]
["联系电话",{"$nulls":3},"最新通信地址和邮政编码","            省          市          区/县                    号"]
[{"$nulls":5},"邮政编码："]
[]
["免修课程情况",null,null,"序号","免修课程名称",null,"免修课程成绩",null,"成绩取得时间",null,"免修课程学分",null,"备注"]
[{"$nulls":3},1]
[{"$nulls":3},2]
[{"$nulls":3},3]
[{"$nulls":3},4]
[{"$nulls":3},5]
[]
[{"$nulls":3},"                                                    申请人（签字）：                                  年        月        日"]
["学习中心意见"]
[]
[]
[]
[]
[]
[]
[{"$nulls":3},"                     （学习中心盖章）负责人（签字）：                                  年        月        日"]
[]
["网络教育学院         审批意见"]
[]
[]
[]
[{"$nulls":3},"                                                 经办人（签字）：                                  年        月        日"]
[]
[]
[]
[]
[{"$nulls":3},"                                          负责人签字（盖章）：                                  年        月        日"]
[]
["注：","1. 此表在“奥鹏首页—下载专区—各院校学籍异动表下载—江南大学网络教育学院”中下载，申请人在所属学习中心填写此表，须认真完整填写，学习中心核查后签字盖章，由学习中心将此表寄至奥鹏中心，由奥鹏中心汇总报网院审批并办理相关手续。"]
[null,"2. 此表一式两份，一份网院留存，一份学习中心留存。     "]
["        "]