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["申请撤销处分汇总表                                          "]
["  ×××系部（盖章）"]
["序号","姓名","学号","专业班级","处分等级","处分时间","处分原因","申请撤销处分理由"]
[1]
[2]
[3]
[4]
[5]
[6]
[7]
[8]
["     填表人：                            系部负责人：                     时间：         年     月     日"]

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