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["西安体育学院"]
["XX二级裁判员颁发证书备查表"]
["序号","姓 名","性别","年龄","项 目","成 绩","通级时间","证书号码","系（部）","年级","班级"]
[1]
[2]
[3]
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[" 注：1、此表一式两份，领取证书时一份交竞赛训练处，一份留存教研室。                       领证单位盖章           "]
["     2、表中所列人员均通过学习培训并参加  年 月 日的裁判理论及实践考试，成绩合格。",{"$nulls":7},"        年   月   日"]

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