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["              系大江校友基金会爱心助学金发放表"]
["序号","姓名","班级","受助金额","银行卡号","备注"]
[1,null,null,"2000"]
[2,null,null,"2000"]
[]
[]
[]
[]
[]
["制表人：                   系书记签字：                     学生资助中心签字：          "]

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["大江校友基金会爱心助学金申请表（附件1）"]
[]
["姓名","韩景阳",null,null,"性别","男",null,"民族","汉","出生年月",1991.1]
["家庭住址和\n联系电话",null,"皖六安市裕安区罗集乡陈家楼村   15656482060"]
["所在系",null,"管理工程系",{"$nulls":3},"专业、班级",null,"工程造价114"]
["家庭主要成\n员及经济收\n入情况",null,"称谓",null,"姓名","年龄",null,"工作单位",null,null,"年收入"]
[null,null,"父亲",null,"韩庆游",47,null,"无",null,null,2000]
[null,null,"母亲",null,"王道秀",46,null,"无",null,null,"无"]
[null,null,"妹妹",null,"韩景钰",16,null,"学生",null,null,"无"]
["申\n请\n理\n由",null,null,"　家庭较困难，父亲有高血压且前段时间又查出脂肪肝，母亲有小乙肝，均不能干重活，并且\n　家中有妹妹与我都在上学。爷爷已84岁高龄，还有高血压和心脏病。最重要的是小叔前阵子\n　检查出来了尿毒症，这一重症造成家中经济都依靠我父亲，所以家中现在较困难，并且已开始\n　负债。特别是小叔每星期都需要透析三次，这巨大的医药费都依靠父亲承担.而且已经申请了贫困助学金，但是不享受补贴，所以现申请光清爱心助学金，望批准。"]
[]
[]
[]
["所在系审核意见"]
[]
["学生资助中心审核意见"]
[]
["院领导审批意见"]
[]
["注：此表一式三份，一份所在系留存，一份学生资助管理中心留存，一份报武光清本人或委托代表。"]

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