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["附件1："]
["普通高中免学费受助学生申请表"]
["镇(办事处、管委会):＿＿＿＿学校: ＿＿＿年级: ＿＿班级: ＿＿"]
["学生本人情况","姓 名",null,null,"性 别",null,null,"出生年月",null,null,"民族"," "]
[null,"身份证号 码","    ",{"$nulls":3},"家庭人口",null,"户口 ： 城镇□ 农村□"]
[null,"银行卡号",{"$nulls":5},"持卡人姓名"]
[]
[null,"1.建档立卡家庭学生 □",{"$nulls":4},"2.农村低保家庭学生 □"]
[null,"3.特困供养学生 □",{"$nulls":4},"4.残疾学生 □"]
[null,"详细通讯地址",{"$nulls":6},"联系电话"]
["学生父母或监护人情况","姓 名",null,"年龄","与学生关   系","工作单位",{"$nulls":3},"职业"]
[{"$nulls":3},"  ","   ","          ",{"$nulls":3}," "]
[{"$nulls":3},"  ","   ","          ",{"$nulls":3}," "]
[{"$nulls":3},"  ","   ","          ",{"$nulls":3}," "]
["个人确认","确认内容：                                                                                                                                                                                   1、已对国家学生资助政策知晓  □                                                                                                                                               2、表中填写信息真实无误  □                                                                                                                                                                                                                                                                                          "]
[null,"                                        学生本人（或监护人）签字：                                                             "]
[null,"                                        年       月       日"]