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["附件2："]
["高中国家助学金申请表"]
["学校名称："]
["姓名",null,"性别",null,"出生   年月",{"$nulls":3},"贴照片"]
["民族",null,"政治  面貌",null,"入学   时间"]
["年级    班级",{"$nulls":3},"身份证号码"]
["家庭  成员  情况","姓名","年龄","与本人关系",null,"工作或学习单位"]
[]
[]
[]
[]
[]
["家庭  经济  状况","户籍性质","□农业      □非农业",null,null,"主要收入来源"]
[null,"家庭住址  及邮编",{"$nulls":4},"联系  电话"]
[null,"家庭人     口总数",null,null,"家庭年收入",null,"人均年收入"]
["申请国家助学金的主要理由（证明材料附后）"]
[]
[]
[{"$nulls":3},"申请人签名：",{"$nulls":3},"年     月     日"]
["班级审核意见"]
[]
[{"$nulls":3},"班主任签字：",{"$nulls":3},"年     月     日"]
["学校审核意见及公示结果"]
[null,null,"经审核，确定该生享受    等高中国家助学金。"]
[{"$nulls":3},"负责人签字：",{"$nulls":3},"（公章）"]
[{"$nulls":7},"年     月     日"]