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["附件1："]
["2017年暑假留校学生基本情况表（本科生用表）"]
["学院（系）：                                     北校区负责老师：                南校区负责老师：             "]
["序号","姓名","性别","民族","专业年级","家庭住址","家庭联系方式","住宿校区","宿舍号","联系方式","留校时间","留校原因","是否贫困生","备注"]
["示例","张三","男","汉","农学141","陕西省西安市雁塔区***",null,"北","14#111","187********","7月19日-8月10日","1.学习培训、社会实践、做实验","是","北校负责学生"]
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["备注：\n1.请按示例要求填写，留校时间和留校原因栏目务必在深入了解学生的基础上填写清楚；\n2.负责学生请在备注一栏中注明，并详细登记联系方式。   "]
["领导审核（签字）：                                                   制表人：                     填表日期：         "]

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