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["武威职业学院     届毕业生退费表"]
[]
["系部（盖章）",{"$nulls":4},"报送时间：    年   月  日",null,null,"单位：元"]
["序号","姓名","年级","专业班级","建设银行卡号","身份证号码","退费金额","联系电话","班级"]
[1,"刘琳",2018,"2018护理2班","6217004840014190488","622223220085130824",null,18189601509]
[2]
[3]
[4]
[5]
[6]
[7]
[8]
[9]
[10]
[11]
[]
[]
[]
[]
["合计（大写）",null,"贰佰伍拾元整",null,null,"金额（小写）250.00"]
["注：","1.此表所列学生为应届毕业生，退费为多交学费住宿费（含贷款多贷学费、实习期间不住宿而实际缴纳了住宿费的）；"]
[null,"2.填写此表不允许更改此表格式，页边距等设置；表头需加盖系部公章；必须以系部为单位汇总上报（含电子班，纸质版）"]
[]
["经办人（学院教师）：",{"$nulls":3},"经办人联系电话：",null,"系部审核："]