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["长春大学旅游学院学生违纪处分调查表"]
["姓  名",null,"学  院",null,"专业班级",null,"学  号"]
["调查情况说明及处理意见：\n\n\n\n\n\n\n\n\n                                                  辅导员签字：\n \n                                                                       年   月   日"]
["学院学生办公室主任意见：\n\n\n\n\n                                                      签 字：\n\n                                                                       年   月   日"]
["学生本人意见：\n\n\n\n\n                签 字：\n\n                     年    月    日",{"$nulls":3},"党总支书记意见：\n\n\n\n\n            签 字：\n\n                                年   月   日"]
["学生工作处审核意见：\n\n\n\n\n                                                \n\n\n\n                                                    签  字：\n                              \n                                                                       年   月   日"]
["  附：学生本人书面检讨书一份"]

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