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["2017年度国家公派留学申报表"]
["姓名",null,"现工作部门"]
["留学类别",null,"留学期限"]
["留学课题名称"]
["留学国家",null,"拟留学单位"]
["申请人签字：                           年      月      日\n"]
["申报者部门意见"]
["                                                 研究组组长签字：                           年      月      日\n"]
["                              研究室主任（部长）/部门负责人签字：                           年      月      日\n"]

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