出生日期

Date of Birth

护照号

Passport No.

专业

Major

年级

Batch

学号

Roll No.

入学时间Admission Date

毕业时间Graduation Date

联系地址

Contact Address

联系电话Contact Number

是

否

符

合

学

士

学

位

授

予

条

件

Whether

it

meets

the conditions

for

the

award

of bachelor's

degree

1、修完教学计划规定的所有课程，成绩合格并修满规定学分，取得毕业资格

Complete all the courses specified in the teaching plan, pass the examination and complete the required credits, and obtain the graduation qualification.

□是 Yes □否No

2、必修课程平均学分绩点达到1.2

The average GPA of compulsory courses reaches 1.6.

□是 Yes □否No

4、因考试作弊受到记过及以上处分

□是 Yes □否No

Be punished with demerit or above for cheating in examination.

备注：

1、毕业考试不合格者，不授予学士学位；

2、毕业时，作结业处理的，不授予学士学位。结业学生在毕业后一年内经重修取得毕业证后，符合学士学位授予条件的，可在取得毕业证的当年申请补授学士学位。

Notes:

1.Those who fail to pass the graduation examination will not be granted a bachelor's degree;

2.A bachelor's degree will not be awarded to those who have completed the course upon graduation. After completing the course within one year of graduation and obtaining the graduation certificate after retaking, and meeting the requirements for granting a bachelor's degree, they may apply for a supplementary bachelor's degree in the year they obtained the diploma.

本人已知悉川北医学院学士学位授予条件，现自愿申请学士学位。确保如实填写以上内容，若存在瞒报、漏报等失信行为，责任自负。

Having been informed of the conditions for awarding the bachelor's degree of North Sichuan Medical College, now I apply for the bachelor's degree voluntarily. Be sure to fill in the above contents truthfully. If there is any dishonesty such as concealment or omission, I will be responsible for it.

承诺人:Committed by:

日期:Date:

院系教授委员会审核意见

□经审核，该生符合我校学士学位授予条件，各项信息完整、真实、无误，同意申请学士学位。

形成拟授予学士学位名单，报学校学位办复核。

After verification, the student meets the requirements of the bachelor's degree award of our college, and the information is complete, true and correct, agrees to apply for the bachelor's degree.Form a list of bachelor's degrees to be awarded and report to the college degree office for review.

□经审核，该生不符合我校学士学位授予条件，不同意申请学士学位。形成拟不授予学士学位名单，报学校学位办复核。

After verification , the student does not meet the requirements of the bachelor's degree of our college and does not agree to apply for the bachelor's degree. Form a list of bachelor's degrees to be not granted, and report to the university degree office for review

签字（盖章） 年 月 日

学校学位办复核结论

□同意申请学士学位，形成拟授予学士学位名单，报学校学位评定委员会审定。

Agree to apply for bachelor's degree, form a list of bachelor's degree to be awarded, and report to the college degree evaluation committee for approval.

□不同意申请学士学位，形成拟不授予学士学位名单，报学校学位评定委员会审定。

Disagree to apply for bachelor's degree, form a list of bachelor's disagree to be awarded, and report to the college degree evaluation committee for approval.

签字（盖章） 年 月 日

学校学位评定委员会学位授予决定

□同意授予学士学位，学士学位授予决定由院系教授委员会装入学生档案。

Agree to confer the bachelor's degree, and the decision of conferring the bachelor's degree shall be put into the student file by the faculty committee

□不同意授予学士学位，由院系教授委员会以书面形式通知学生本人，并说明不授位原因。

Disagree to confer a bachelor's degree, the faculty committee shall inform the students in writing and explain the reasons for not conferring the degree.

签字（盖章） 年 月 日