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["池州职业技术学院学生请假条"]
["班级",null,"姓名",null,"学号"]
["家庭详细住址",{"$nulls":3},"联系电话"]
["请假起止日期",{"$nulls":3},"请假天数"]
["请假事由（因病应附校医室或病历证明）","                                        学生本人签字：   \n                           （附家长姓名及联系电话：               ）  "]
[]
["班主任/辅导员意见","签字："]
["系部意见","签字（盖章）："]
["学生处意见","签字（盖章）："]
["院领导审批"]
["销假时间",{"$nulls":3},"经办人签名："]
["超假时间","年   月    日——    年   月   日"]
["备注：（1）1天以内仅需系部审批；2-7天（含7天）由学生处审批；7天以上需院领导审批。\n      （2）本表原件留存班级辅导员/班主任处，复印件由学生本人保存。"]