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["山东财经大学东方学院继续教育学籍信息变更申请表"]
["填表日期:       年     月    日"]
["录取编号",null,"身份证号"]
["姓   名",null,"性   别",null,"年级专业"]
["学   号",null,"层   次",null,"函授站（点）"]
["变更姓名","原姓名",null,"原   因"]
[null,"变更后姓名"]
["变更专业","原专业",null,"原   因"]
[null,"变更后转业"]
["变更身份证号","原号码",null,"原   因"]
[null,"变更后号码"]
["变更民族","原民族",null,"原   因"]
[null,"变更后民族"]
["变更政治面貌","原政治面貌",null,"原   因"]
[null,"变更后政治面貌"]
["个人签名",null,"联系电话"]
["函授站（点）审批意见",null,"签字（盖章）       年    月    日"]
["学籍部审批意见",null,"签字（盖章）       年    月    日"]
["学院审批意见",null,"签字（盖章）       年    月    日"]