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["XX系XX-XX学年第X学期优秀学生奖学金"]
["初评学生名单汇总表"]
["系别（盖章）："]
["序号","学号","班级","姓名","评奖等级","备注"]
[1]
[2]
[3]
[4]
[5]
[6]
[7]
[8]
[9]
[10]
[11]
[12]
[13]
[14]
[15]
[16]
[17]
[18]
[19]
[20]
[21]
[22]
[23]
[24]
[25]
["…"]
[]
[]
[]
[]
["说明：1．学号需填8位，班级填4位，如“20151201”，“1512班”；      "]
["      2．学生姓名需写全名，特别是少数民族学生；"]
["      3．等级直接填写“一”、“二”或“三”；"]
["      4．对于考试课成绩低于70分申请三等奖学金的情况，需在备注栏填写“增补”。"]
["系负责人签字：                  时间：   年  月  日"]

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