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["附件2："]
["中南大学2019年“拔尖创新计划”学生申请表  "]
["                 学院                         专业      班   学号                 "]
["姓    名",{"$nulls":4},"性别",{"$nulls":4},"身份证号"]
["政治面貌",{"$nulls":4},"民族",{"$nulls":4},"手机"]
["奖惩情况"]
["学院审核","CET6/专八",{"$nulls":4},"雅思成绩",{"$nulls":4},"托福成绩"]
[null,"专业年   级排名",{"$nulls":4},"专业年级总人数",{"$nulls":4},"加权平均成绩"]
[null,null,"是否有不及格课程",{"$nulls":6},"违纪情况"]
[null,"学院教务审核并签名：                                年  月  日"]
[null,null,"思想品德考核意见：                                                                        "]
[null,null,"学院学生工作办公室审核并签字：                       年  月  日"]
["学"]
["院"]
["推","  "]
["荐"]
["意"]
["见","学院负责人签字：                 学院公章                 年  月  日"]
["学校"]
["领导","                                 "]
["小组"]
["意见","                                签 章                    年  月  日"]
["注：表中“学院审核”中的有关信息，按通知要求审核签字。"]