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["上海第二工业大学继续教育学院学生退学费申请审批表"]
["申请日期","       年     月      日"]
["校区（办学点）",null,"班级代码",null,"学号",null,"姓名"]
["身份证号",null,null,"银行账号",null,null,"联系电话"]
["交费时间",null,"收据号码",null,"休、退学原因",null,"申请人确认签字"]
["交费（学年/学期）",null,"交学费金额",null,"申请退费（学期）",null,"申请退学费金额"]
["以下由学校有关人员填写"]
["校区（办学点）意见","同意退学费",null,"元","同意退学费",null,"元"]
[null,"经办人：",null,"年  月   日","负责人：",null,null,"年  月   日"]
["学历部意见","同意退学费",null,"元","学院审批意见","同意退学费",null,"元"]
[null,"经办人：",null,"年  月   日",null,"主管领导",null,"年  月   日"]
["财务处","上网申请时间",null,"年  月   日","同意退学费",null,"元"]
[null,"同意退学费","元，经办人签字",null,"负责人：",null,null,"年  月   日"]
[]
["注：退费学生必须提供以下附件。"]
["1、已交费收据原件"]
["2、身份证和缴费银行卡复印件各一份"]
["3、教务办开出的休、退学证明"]

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