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1、九江学院学生自主联系实习申请审批表九江学院学生自主联系实习申请审批表学院姓名性别专业班级学号实习 课程实习起止 时间_年_月_日 至 _年_月_日申 请 理 由承 诺 书1、严格遵守国家法律法规和社会公德，自觉维护学校声誉。 2、严格遵守学校有关实习教学管理制度和实习单位的工作纪律，认真完成各 项实习任务，定期和指导教师联系，汇报实习情况，实习结束后及时返校。； 3、本人在校外实习期间发生的人身财产等方面的安全事故由本人负责，学校 不承担任何责任。 签 名： 年 月 日学生 家长 意见签 名： 年 月 日名称地址联系人实习 单位 及其 联系 方式电话实习 单位 意见负责人签名： （公章） 年
2、月 日住址电话实习期间 联系方式E-mailQQ二级 学院 意见签 名（公章）： 年 月 日(y+B3E6H9LcOfRjUmYp!s&w)z0C4F7JaMdPhSkVnZq$u*x-A2D5G8KbNfQiTlXo#r%v(y+B3E6I9LcOgRjUmYp!t&w)z1C4F7JaMePhSkWnZq$u*x+A2D5H8KbNfQiUlXo#s%v(y0B3F6I9LdOgRjVmYq!t&w-z1C4G7JbMePhTkWnZr$u*x+A2E5H8KcNfQiUlXp#s%v)y0B3F6IaLdOgSjVmYq!t*w-z1D4G7JbMeQhTkWoZr$u(x+B2E5H9
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4、r$u*x+A2E5H8KcNfQiUlXo#s%v)y0B3F6I9LdOgSjVmYq!t&w-z1D4G7JbMePhTkWoZr$u(x+A2E5H9KcNfRiUlXp#s&v)y0C3F6IaLdPgSjVnYq!t*w-A1D4G8JbMeQhTkWoZr%u(x+B2E5H9KcOfRiUmXp#s&v)z0C3F7IaLdPgSkVnYq$t*w-A1D5G8JbNeQhTlWo#r%u(y+B2E6H9LcOfRjUmXp!s&v)z0C4F7IaMdPgSkVnZq$t*x-A1D5G8KbNeQiTlWo#r%v(y+B3E6H9LcOgRjUmYp!s&w)z1C4F
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