Page 142 - 循人中学行政手册2025-2026
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循人中学销过辅导（学生）推荐及评估申请表
Assessment Form of Dismissal of Faults (by student’s recommandation)
申请人 班级 学号 班号
Applicant:___________ Class::_________ Reg. No:_________ Class No:_____
推荐人Referee:____________ 推荐人操行Referee’s Conduct mark:____________
推荐人资格 班委/学长团/学会执委
Relationship:________________Class leadership/Prefect/Society Executive Committee
推荐理由
Reason of recommendation: ___________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
签名 日期
Signature:_______________ Date:________________
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第一阶段评估 日期 至
First Stage of Assessment Period: From : _________ to_________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
日期 签名
Date:__________ Signature:__________
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第二阶段评估 日期 至
Second Stage of Assessment Period: From : _________ to_________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
日期 签名
Date:__________ Signature:__________
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第三阶段评估 日期 至
Third Stage of Assessment Period: From : _________ to_________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
日期 签名
Date:__________ Signature:__________
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