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["四川省高等教育自学考试课程免考申请表"]
["单位：西南科技大学",{"$nulls":8},"20   年    半年"]
["20   年    月    日"]
["姓名",null,null,"性\n别",null,"报考\n专业",null,null,"专\n本科","准考证号"]
["自考毕业生主考院校",{"$nulls":6},"毕业专业",{"$nulls":10},"学历\n层次"]
["非自考毕业生毕业院校"]
["毕业\n时间",null,"毕业证\n书号码",{"$nulls":6},"通讯地址或\n联系电话"]
["申请免考课程名称","课程\n名称"]
[null,"课程码"]
["原曾学过的课程及成绩","课程\n名称"]
[null,"成绩"]
[null,"课程码"]
["自考生原报考专业(未毕业)名称",{"$nulls":7},"原准考\n证  号"]
["证明材料及附件名称",{"$nulls":12},"证明材料共   份   页"]
["县（市、区）自考办意见","经办人签名:                      单位盖章\n                       200   年   月   日",{"$nulls":6},"学校自考办审核意见","经办人签名:         单位盖章\n            201  年   月   日"]
["省自考办\n审核意见","                                      单 位 盖 章\n计算机录入员签名:           经办人签名:               20  年   月   日"]
["备注"]
["填表说明:\n一、考生填写一式一份。省考办批准后，凭返回的《课程免考证》办毕业证书。若未批准，则将所有材料逐级返回至县级自考办。\n二、省内转专、改报专业、外省转入，申请免考都要办免考手续。\n三、自考毕业生和非自考毕业申请免考都要填写原毕业时间和毕业证书号。\n四、考生在原考号未毕业：若原专业未停考，必须按新的准考证号、调整计划后的新课码、新课名来填写相关栏目；若原专业已停考或原专业未停考但调整计划后其课程（2002年前所考）属于任意替代的，则原准考证号和课名均按《课程合格证书》上的内容进行填写。"]

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