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[]
["北京地区成人高等教育学生转学确认表"]
[]
["姓名",{"$nulls":3},"性别",null,"身份证号"]
["入学日期",null,null,"        年    月",null,"民族",null,null,"考生号"]
["转出","学校名称",{"$nulls":6},"学校代码"]
[null,"专业名称",{"$nulls":4},"年级",null,"学校所在省（市）"]
[null,"学习形式",null,null,"科类",null,"层次",null,"学号"]
["转入","学校名称",{"$nulls":6},"学校代码"]
[null,"专业名称",{"$nulls":4},"年级",null,"学校所在省（市）"]
[null,"学习形式",null,null,"科类",null,"层次",null,"学号"]
["转学理由："]
["                           申请人签字：                      年    月    日"]
["转出学校意见","              年   月   日（章） ",{"$nulls":4},"转入学校意见","              年   月   日（章） "]
["北京市教委确认意见","                                                   年   月   日 （章）"]
["注：本表用黑蓝钢笔填写2份，不可复印。"]

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