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[]
["高等学校学生及家庭情况调查表"]
["学校：                        院（系）                 专业          年级     ."]
["学   生   本   人   基   本   情   况","姓  名",{"$nulls":3},"性别",null,"出身年月",{"$nulls":3},"民族"]
[null,"身份证  号 码",{"$nulls":6},"政治面貌",null,null,"入学前户口"]
[null,"家 庭    人口数",{"$nulls":3},"毕业学校",{"$nulls":5},"个人   特长"]
[null,"孤  残",null,"□ 是 □ 否",null,"单  亲",null,"□ 是 □ 否",null,null,"烈士子女","□ 是 □ 否"]
["家庭通讯信息","详细通讯地址"]
[null,"邮政编码",{"$nulls":4},"联系电话"]
["家庭成员情况","姓名",null,"年龄","与学生关系","工作（学习）单位",{"$nulls":4},"职业","年收入（元）","健康情况"]
[]
[]
[]
[]
[]
["影响家庭经济状况有关信息","家庭人均年收入         （元）。学生本学年已获资助情况                     。"]
[null,"                                                                       。"]
[null,"家庭遭受自然灾害情况：                    。家庭遭受突发以外事件          。"]
[null,"家庭成员因残疾、年迈而劳动能力弱情况                                     。"]
[null,"家庭成员失业情况                            家庭欠债情况                。"]
[null,"其他情况                                                               。"]
["签    章","学  生  本  人",null,null,"学生家长    或监护人",null,null,"学生家庭所在地乡镇或街道民政部门"]
[{"$nulls":9},"经办人（签字）："]
[{"$nulls":9},"单位名称（加盖公章）"]
[{"$nulls":9},"               年  月  日"]
["民政部门信息","详细通讯地址"]
[null,"邮政编码",{"$nulls":4},"联系电话"]
["注：1.本表请如实填写，并到家庭所在地乡镇或街道民政部门签章才有效； 2. 本表可复印使用，上交1份供学生资助管理中心存档用。"]

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[]
["高等学校家庭经济困难学生认定表"]
["学校："]
["学生本人基本情况","姓名",null,null,"性别",null,"出生年月",null,"民  族"]
[null,"身份证号码",{"$nulls":4},"政治      面貌",null,"家庭年均年收入（元）"]
[null,"学  院",{"$nulls":4},"系",null,"专业"]
[null,"年  级",null,null,"班 ",null,null,"在校联系  电  话"]
["学生本人陈述申请认定理由","学生签字：                                     年        月         日"]
[null,"注：可另付详细情况说明。"]
["民主评议","推荐档次","A.家庭经济一般困难  □",null,null,"陈   述    理   由"]
[null,null,"B.家庭经济困难      □"]
[null,null,"C.家庭经济特殊困难  □"]
[null,null,"D.家庭经济不困难    □"]
["认定决定","院、系意见","经评议小组推荐，本院（系）认真审查后",{"$nulls":3},"学校学生资助管理机构意见","经学生所在院（系）提请，本机构认真核实，"]
[null,null,"□ 同意评议小组意见。",{"$nulls":4},"□ 同意工作组和评议小组意见。"]
[null,null,"□ 不同意评议小组意见。调整为      .",{"$nulls":4},"□ 不同意工作组和评议小组意见。调整为："]
[null,null,"                           。                               ",{"$nulls":4},"                           。 "]
[null,null,"工作组长签字：",{"$nulls":4},"负责人签字："]
[null,null,"年    月    日",{"$nulls":4},"          年   月    日（加盖部门公章）    "]
["注：1.本表请如实填写，院、系签章才有效； 2. 本表可复印使用，上交1份供学生资助管理中心存档用。"]

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[]
["高校在校生生源地信用助学贷款申请表"]
["    重庆市                  区（县）",{"$nulls":8},"编号："]
["借款人基本信息","借款学生姓名",null,null,"身份证号码",{"$nulls":6},"性别　"]
[null,"家庭住址",{"$nulls":4},"邮政  编码",null,null,"户 籍 "]
[null,"就读高校名称",{"$nulls":4},"专业",{"$nulls":4},"学制"]
[null,"高校类别（在□打√）",null,null,"□","部属院校","□","跨市地方院校",null,"□","本市地方院校      "]
[null,"学  费",null,"元",null,"住宿费","元",null,"贷款期内费用    是否会有变动",null,null," □ 是","   □ 否"]
[null,"家庭 年         总收入","           元","元",null,"学生本学年             已获资助情况"]
[null,"共同借款人 姓 名",{"$nulls":3},"与借款学生关系",null,null,"身份证号码"]
[null,"家庭住址",{"$nulls":5},"邮  编",null,null,"电      话"]
[null,"共同借款人 姓名",{"$nulls":3},"与借款学生关系",null,null,"身份证号码",null," "]
[null,"家庭住址",{"$nulls":5},"邮  编",null,null,"电     话"]
["申请贷款情况","申请贷款金额          （元）       ",null,null,"2007年","2008年","2009年","2010年","2011年"]
[]
[null,"贷款期限（在□打√）",null,null,"  □ 9年","  □ 10年","  □ 11年","  □ 12年","  □ 13年",null,"  □ 14年"]
["家庭贫困原因","以下各项应据实填报，可多项（选项用“√”或“×”，不留空项）："]
[null,"   □1.农村特困或城镇低保户；    □ 2.孤儿或残疾人家庭；     □3. 家庭成员患重大疾病；"]
[null,"   □4.重大自然灾害影响；        □ 5.家庭主要收入创造者因故丧失劳动能力； "]
[null,"   □6.老、少、边、穷及偏远农村家庭；        □7.家庭上年现金收入低于8,000元。"]
["借款人声明：",{"$nulls":6},"区（县）学生资助管理中心意见："]
["我们保证以上基本信息真实、可信。"]
["借款学生签名（手印）：",{"$nulls":6},"     "]
["共同借款人签名（手印）：",{"$nulls":6},"                      （加盖公章）  "]
["共同借款人签名（手印）：",{"$nulls":6},"                  年     月     日"]
["注：1、凡已获得高校助学贷款的学生不得申请生源地信用助学贷款；"]
["    2、除欠缴2007年度学费且经当地资助中心核实同意的学生外，不得在“申请贷款金额”栏添列2007年申请金额；"]
["    3、本表可复印使用，请如实填写，相关人员亲自摁手印， 上交1份供学生资助管理中心存档用。"]