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[null,"附表:       日美扶贫助学金申请审批表（    年）",{"$nulls":7}," "]
[null,null,"姓名",null,"性别",null,"出生年月"]
[null,"本人","民族",null,"政治面貌",null,"入学时间"]
[null,"情况","身份证号码",{"$nulls":3},"联系电话"]
[null,null,"     系                班"]
[null,"申请理由："]
[]
[]
[]
[null,"       申请人签名                              年     月     日         "]
[null,"系部推荐意见："]
[]
[]
[]
[null,"系领导签名：                              年     月     日         "]
[null,"学工保卫处审核意见："]
[null,"  "]
[]
[]
[null,"负责人签名                              年     月     日         "]
[null,"学院日美扶贫助学基金管理委员会审定意见:"]
[null,"  "]
[]
[{"$nulls":5},"主任签名",null,"年     月     日"]