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["          培养单位（公章）最长学习年限预警情况表"]
["序号","学号","姓名","是否与学生联系","是否告知预警情况","联系时间","联系人签字","导师是否与学生沟通学业进展","导师签字","学生签字"]
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["主管领导签字："]
["时      间："]
["备注：本表一式两份，培养单位研究生院各留一份;若有其他情况，可另附材料。"]