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["附件6"]
["2016-2017学年三好学生标兵申请汇总表"]
["院系（公章）：        负责人：           经办人：                填表日期：      年    月    日"]
["注："]
["1、政治面貌一栏填写“中共党员”、“中共预备党员”、“共青团员”、“群众”。"]
["2、家庭经济困难档次填写，仅供调查了解，非影响评选的因素，并请注意描述成一般困难和特殊困难两个等级。"]
["序号","姓名","性别","出生年月","政治面貌","民族","学号","院系","班级","家庭经济困难档次","主要事迹（含现实表现、任职情况、所获奖励等，限200字以内）","联系电话"]
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["  "]
["    "]
["  "]