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["国家励志奖学金申请审批表（2011-2012 学年）"]
[]
["本人情况","姓  名",null,"性  别",null,"出生年月"]
[null,"民  族",null,"政治面貌",null,"入学时间"]
[null,"身份证号码",{"$nulls":3},"联系电话"]
[null,"       大学         学院          系          班"]
[null,"曾获何种奖励"]
["家庭经济情况","家庭户口","A、城市              B、农村",{"$nulls":3},"家庭人口总数"]
[null,"家庭月总收入",null,"人均月收入",null,null,"收入来源"]
[null,"家庭住址",{"$nulls":4},"邮政编码"]
["学习成绩","科  目","成  绩",null,"科  目",null,null,"成  绩"]
[]
[]
[]
[]
["申请理由："]
[]
["申请人签名：                                              年     月     日        "]
["院系评审意见："]
[]
["（公章）年     月     日      "]
["学校审核意见："]
[]
["（公章）年     月     日"]