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["青岛职业技术学院2025年单独考试招生和综合评价招生考试\n成绩复核申请表"]
["考生姓名",{"$nulls":3},"考试科目"]
["考生类别","□单独招生□综合评价",null,null,"准考证号"]
["报考专业",{"$nulls":3},"身份证号"]
["公布成绩",{"$nulls":3},"申请时间","年   月  日"]
["复核理由",{"$nulls":4},"\n\n     考生学籍所在学校盖章\n\n（须经考生学籍所在学校填写\n同意申请的意见并盖章）"]
["（粘贴考生身份证复印件）  ",{"$nulls":4},"考生签名：                            联系电话："]
["成绩复核过程记录：    "]
["年  月  日   时  分"]
["复核结果：",null,"复核人：",{"$nulls":3},"主考："]

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