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寝室违纪谈话反馈表
来源:新万博平台      作者:学工处      发表时间:2018-4-8

 

填表人:                                                   填表时间:

学生姓名

 

寝室

 

系部班级

 

谈话时间

 

谈话地点

 

联系电话

 

谈话原因

 

谈话内容

 

辅导员处理意见:
                                           
                   
                     

签名:                          年   月   日                                                                                                                                         

系部审核意见:

                                              
                                              
                     签名:                         年   月   日                                                                                                                                   

学工处审核意见:

                                              
                                              
                     签名:                         年   月   日                                                                                                                                              

注:1.填表人为谈话人;2.谈话原因为:XX月XX日因晚归/夜不归宿谈话;3.谈话内容:违纪情况、事因、学生认错态度等等;4.谈话反馈表为寝室检查结果通报的第二个工作日上午交到学工处;

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