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["原专业班级","级             专业       班"]
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["□复学   □延长学习年限   □转专业    至     级        专业      班"]
["申请理由（如不够可附页）","                                                  签名：                      年      月     日"]
["院部意见（转专业需原学院、新学院均签署意并签字盖章）","                                     签名（盖章）：                      年      月     日"]
["教务处意见","                                     签名（盖章）：                      年      月     日"]
["校长意见","                                                    签名：                      年      月     日"]

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