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["國立聯合大學專題演講申請表"]
["114學年度第2學期                                                              "]
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["※本表核准後，請送至研發處。",{"$nulls":5},"若欄位不敷使用，請自行copy。"]
["專題演講",null,null,"主講人","講題","地點","備註 (若異動，請加註異動內容)"]
["日期","星期","時      間       (am或pm)"]
[]
[]
[]
[]
[]
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["註：1.依據83年8月31日行政會議第854次會議暨93年1月13日92學年度第1學期第2次教務會議決議辦理。"]
[" 2.若有異動請於備註欄內加註異動內容。",{"$nulls":5},"主講人、主講內容及日期"]
["經辦人：",null,null,"二級主管(主任)：                    一級主管(院長)：",null,null,"請  准予視實際情況變更"]