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["附件1"]
["河北省建档立卡等贫困家庭学生资助申请表"]
[{"$nulls":3},"（           年）"]
["姓  名",{"$nulls":3},"性别",null,null,"民族",null,"1寸相片"]
["就读学校",{"$nulls":3},"籍贯",null,null,"年级"]
["身份证号",{"$nulls":5},"联系\n电话"]
["家庭详细\n地    址",null,"        市     县（区）        乡（镇、街道办）        村（居委会）"]
["家庭成员或监护人信息","姓  名",null,null,"年龄",null,null,"与本人关系"]
[]
[]
["申请受助类型（在对应类型□打“√”）","建档立卡家庭经济困难学生□",{"$nulls":4},"农村低保家庭学生□"]
[null,"农村特困救助供养学生 □",{"$nulls":4},"残疾家庭学生□         ",null,null,"城市 □"]
[{"$nulls":6},"残疾学生□",null,null,"农村 □"]
["提供何种证明材料"]
["申请理由","    根据河北省建档立卡等家庭经济困难学生资助政策，特申请予以资助。\n\n    本人签字：                                       年    月    日"]
[]
["学校审核意见","    \n\n\n                                                     （学校盖章）                                  \n                                                    年    月    日"]
[]
[]
["注：1.此表必须由学生本人填写，不得代填；2.普通高校和中职学生只在建档立卡家庭经济困难学生一栏打√"]