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["长春大学旅游学院学生公寓违纪处分调查表"]
["姓 名",null,null,"学 院",{"$nulls":3},"公 寓\n寝 室"]
["专 业",null,null,"班 级",{"$nulls":3},"学 号"]
["调查情况说明及处理意见：\n\n\n\n\n\n\n\n                                         辅导员签字：             \n  \n                                     公寓管理员签字：             \n                                                                \n                                                                   年    月    日"]
["学生本人意见：\n\n\n\n                  签  字：\n                             \n                           年    月    日",{"$nulls":4},"学院学生办公室主任意见：\n\n\n\n                签  字：\n                             \n                       年    月    日"]
["公寓管理中心主任意见：\n\n\n\n                  签  字：\n                             \n                           年    月    日",{"$nulls":4},"党总支书记意见：\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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