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["附件2："]
["普通本科高校、高等职业学校国家励志奖学金申请表"]
["本人情况","姓名",null,null,"性别",null,"出生年月",null,"照片"]
[null,"民族",null,null,"政治面貌",null,"入学时间"]
[null,"身份证号码",{"$nulls":4},"联系电话"]
[null,"大学           学院             系              班"]
[null,"曾获何种奖励"]
["家庭经济情况","家庭户口","A、城镇    B、农村",null,null,"家庭人口总数"]
[null,"家庭月总收入",null,"人均月收入",null,"收入来源"]
[null,"家庭住址",{"$nulls":3},"邮政编码"]
["学习成绩"]
["    2017-2018-1学期  纯成绩xx.xx分  排名/班级人数      综测成绩xx.xx分  排名/班级人数"]
["列出主要课程成绩："]
["    2017-2018-2学期  纯成绩xx.xx分  排名/班级人数      综测成绩xx.xx分  排名/班级人数"]
["列出主要课程成绩："]
["申请理由"]
[]
[]
[]
[]
["    综合以上优秀表现，特申请国家励志奖学金，望批准！"]
["申请人签名：                    年     月     日       "]
["学校审核意见："]
[]
[]
[]
[]
[]
["（公章）：                        年     月     日       "]

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