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[null,"湘潭理工学院2023年“专升本”选拔考试成绩复核申请表"]
[null,"准考证号",null,null,"姓   名"]
[null,"考试科目","考试教室","座位号码","原分数","复查分数"]
[]
[]
[]
[null,"考生联系电话：\n备用联系电话：                                                                                                     ",{"$nulls":3},"经办人："]
[null,"考生所属学校："]
[null,"备注：1.本表必须考生本人填写，并在姓名栏签名。"]
[null,"      2.考生务必正确填写以上各项内容，字迹端正。"]
[{"$nulls":4},"湘潭理工学院教务处"]
[{"$nulls":4},"年       月       日"]

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