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["                     启东市普通高中                                                  附件3           家庭经济困难学生国家助学金资助情况汇总表"]
["学校名称（公章）"]
["序号","年级","班级数","在校学生数","资助学生数","资助金额"]
[1,"高一"]
[2,"高二"]
[3,"高三"]
["合计"]
[]
[]
[" 学校负责人：                 填报人:                 填报日期： "]

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["                              年    学期启东市普通高中                                                                       附件2                            家庭经济困难学生国家助学金资助情况明细表"]
["学校名称（公章)                                                          "]
["序号","学生姓名","年级","班级","家庭住址","    年  学期享受国家助学金金额","资助卡号","开户银行","家庭联系电话"]
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["学校负责人：                                      填报人：                              填报时间："]

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["附件1              启东市普通高中国家助学金申请表"]
["学校名称："]
["本人情况","姓     名",null,"性    别",null,"年级"]
[null,"民     族",null,"政治面貌",null,"所在班级"]
[null,"身份证号码",{"$nulls":3},"学籍号"]
[null,"高中资助卡号",{"$nulls":3},"联系电话"]
["家庭经济情况","家庭户口","A、城镇　　B、农村",null,null,"家庭人口"]
[null,"家庭月总收入",{"$nulls":3},"收入来源"]
[null,"家庭住址",{"$nulls":3},"邮政编码"]
["家庭成员情况","姓    名","年  龄","与本人关系","工作或学习单位"]
[]
[]
[]
[]
[]
["申请助学金理由"]
[]
[]
[]
[null,"     申请人：            监护人：            申请时间："]
["学校审核意见"]
[]
[]
[null,"   学校负责人：　　　　　　　　　　　　学校公章："]
["县级学生资助管理中心意见"]
[]
[]
[null,"　　　　　　　　　　　　　              公章："]