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["附件1："]
["安庆职业技术学院学生信息修改确认表"]
["考生号",null,null,"学 号",{"$nulls":5},"本人近期\n免冠照片"]
["姓 名",null,null,"系 所"]
["籍贯",null,null,"专业班级"]
["申请更改信息内容","项 目","原信息内容",null,null,"申请更改后信息内容",{"$nulls":3},"备 注"]
[null,"姓 名"]
[null,"出生日期"]
[null,"身份证号码"]
[null,"其 他"]
["申请\n更改\n原因"]
[]
[]
[]
[]
[]
["本","为了确保在校期间及毕业时身份信息的合法性和学历证书、学历电子注册的准确性，特向学校及有关部门申请办理个人身份信息变更手续。并声明所提交的材料属实，愿意承担所有后果和责任。本人保证以上信息更改内容的真实性，并承担由此产生的法律后果。"]
["人"]
["承"]
["诺",null,"签名：",{"$nulls":3},"日期：",null," 年          月         日"]
["提供材料清单、联系电话"]
["辅导员班主任审核","          辅导员班主任签名：                     年     月    日"]
["系部审批","          系部签名：               盖章：        年     月    日"]
["学生处意见","                                               盖章：                年          月        日"]
["备注：此表一式三份，一份存本系部，一份留存学生处，一份报教育厅。"]

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