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西安电子科技大学研究生结业申请表

2022.06.30

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西安电子科技大学研究生结业申请表

Application Form for Completion of Graduate Student

Name

Student No.

学历证书

图像采集

照片(一寸)Image acquisition photo ofdiploma(1 inch)

School

(专业类别)Major

Supervisor

Type

□博士PhD

□硕士Master

Category

全日制Full-time

非全日Non-full-time

学位类型Degree Type

£学术学位Academic Degree

£专业学位Specialized Degree

联系电话

Mobile

身份证号

Passport Number

课程学习情况

The study status of the course

确认:本人已经完成培养方案要求的课程学分。

本学科培养方案中要求的总学分为,要求的学位课学分为,本人已经获得的总学分为,学位课学分为。(后另附成绩单)

Confirmation: I have completed the required course credits of the training program.

The total credits required in the training program of this discipline are, and the required credits of degree courses are ,the total credits I have obtained are , and the credits of degree courses are.(The transcript will be attached)

本人签字Signatureyymmdd

导师意见Opinion of Supervisor

导师签字Signatureyymmdd

培养学院

审核意见Opinion ofAcademicSchool

负责人签字、盖章Signature and Official Seal:

yymmdd

研究生院

审核意见

Opinion of Graduate School

Official Seal盖章:yymmdd

备注

Note

说明:1.请按照招生目录中的学科/专业类别(即研究生系统中的录取学科/专业类别)正确填写。2.提交结业申请的同时提交一张2寸的学历证书图像采集照片。3.本表一式四份。学生一份、学院一份、研究生院一份、档案馆归档一份Instructions: 1. Please fill in your major correctly.2. Submit a 2-inch diploma image collection photo together with thisform.This form is in quadruplicate.One for the student, one for the school, one for the graduate school, and one for the archives.

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