【精品】中国海洋大学2009年特殊学术专长推免生申请表80.doc

附件6：中国海洋大学2009年特殊学术专长推免生申请表 所在院系： 姓 名性 别出生日期 照片政治面貌身份证号码通讯地址邮编联系电话e-mail本科专业申请攻硕单位与攻硕专业 学习成绩综合排名 / （名次/人数）外国语水平在校期间学习科研及获奖情况申请人自我评价申请人保证以上信息真实、准确。 申请人签字： 年 月 日专家对申请人在科研能力、学术专长或培养潜质等方面的评价以及推荐意见姓 名职称专业 签名： 年 月 日专家对申请人在科研能力、学术专长或培养潜质等方面的评价以及推荐意见姓 名职称专业签名： 年 月 日专家对申请人在科研能力、学术专长或培养潜质等方面的评价以及推荐意见姓 名职称专业 签名： 年 月 日党总支意见负责人签名： （公章） 年 月 日 复试成绩及接收意见复试结果：合格 不合格拟接收专业：_ 复试考核小组组长签字： 复试考核小组成员签字：_ （单位公章）年 月 日学校主管部门意见 负责人签名： （公章） 年 月 日备 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