"高中政府助学金申请表"
"附件1:"
"普通高中政府助学金申请表"
"学校名称:"
"学生姓名",,"性别",,"民族",,"出生年月",,"入学 时间"
"年级班级"," 年级 班",,,"学号",,,"身份证 号码"
"家庭成员情况","姓名","年龄","与本人关系",,"工作或学习单位"
"家庭经济情况","户籍性质","□农村(含县镇)",,,,,"主 要"
,,"□城市",,,,,"收入来源"
,"家庭住址",,,,,,"联系电话"
"家庭人口总数",,,"家庭年收入(元)",,,,"人均年收入(元)"
"申请特困生生活补助的主要理由"," 申请人签名: 家长签名: 年 月 日"
"班级审核意见"," 班主任签字: "
"学校审核意见"," 负责人: 公章"
"区县审核意见"," 负责人: 公章"
"汇总表"
"附件2:"
"普通高中政府助学金汇总表"
"学校名称(签章) ",,,,,,,,"填表日期: 年 月 日"
"序号","姓 名","性别","户籍性质","出生年月","入学日期","所在班级","学号","身份证号码","银行卡号码","受助档次",,,"备注"
,,,,,,,,,,"1档","2档","3档"
,"人数合计",,,,,,,,,0,0
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"统计表"
"附件3:"
"普通高中政府助学金统计表"
" (签章)",,,,,,,,,"填表日期: 年 月 日"
"地区及学校","资金来源(万元)",,,,"受助学生数(人)",,,,,,"在校生人数 (人)","备注"
,"小计","省财政","市财政","县财政","小计","受助档次",,,"户籍类型"

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