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["南京交通职业技术学院学生学费减免申请表                 （     -    学年）"]
["                                                       年     月    日                                      "]
["姓名",null,"性别",null,"班级学号"]
["民族",null,"家庭经济困难认定档次（一般/困难/特困）"]
["应缴学费",null,"建行卡号"]
["生源地（省市县乡镇村）"]
["本学年已获资助情况","高校助学贷款","    元","生源地贷款","     元","有无勤工助学岗位"]
[null,"获无偿资助情况"]
["减免类别（在相应栏打√）","无生活来源、无法确定抚养人或社会福利机构收养的孤儿"]
[null,"革命烈士或因公牺牲军人子女且家庭生活特别困难的学生"]
[null,"属于“建档立卡”且经过学校困难生认定的学生"]
[null,"其他国家规定或学校政策规定予以减免的学生"]
["班级评议意见","                                         签章：                                                                                                                             "]
["院系初审意见","                                        签章："]
["学校审批","                                       签章："]
["注：1、无偿资助包括国奖、国励、国助、学校及社会奖助学金、各类困难补助、伙食补助、临时补助等。"]
["    2、其他国家规定或学校政策规定予以减免情况，可另附说明。"]

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