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["    兰州工商学院饭卡申请表"]
["                                                                  年      月      日"]
["姓名",null,"性别",null,"民族",null,"所在\n部门"]
["来院\n时间",null,"身份证号码",{"$nulls":3},"手机号"]
["申请\n原因","   \n   \n\n                        签字：                 年    月    日                                "]
["所在部门\n  意见","   \n   \n\n                        签字：                  年    月    日                                "]
["后勤管理处\n 意见","   \n   \n\n                        签字：                  年    月    日                                "]
["主管院长\n 意见","   \n   \n\n                        签字：                  年    月    日                                "]
["办理\n结果","   \n   \n\n                        签字：                  年    月    日                                "]
["注销\n时间"]
["备注",{"$nulls":5},"卡号"]