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["贵州民族大学人文科技学院暂缓或免予执行《国家学生体质健康标准》申请表"]
["姓名",null,"性别",null,"出生年月"]
["学部",null,"专业",null,"年级、班级"]
["学号",null,null,"申请缓测或免测学年"]
["申请理由","具体病情及目前身体状况（附病情诊断复印件）"]
[]
[null,"                                   申请人（签字）："]
[null,"                                        日期：       年      月      日                    "]
["班主任审核意见"]
[null,"                                班主任（签字）："]
[null,"                                         日期：       年      月    日                    "]
["学院审批意见"]
[null,"                         负责人（签字并加盖公章）："]
[null,"                                        日期：       年      月     日                    "]
["学生处审批意见"]
[null,"                         负责人（签字并加盖公章）："]
[null,"                                        日期：       年      月     日                    "]
["学校领导审批意见"]
[null,"                       （签字并加盖公章）："]
[null,"                                         日期：       年    月    日                    "]
["    注：本表一式三份，学生工作处，基础教学部，学生本人各存一份。"]

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