2017金秋助学申请表
<p>6 <table class="MsoTableGrid" cellspacing="0" cellpadding="0" border="1"><tbody><tr><td valign="top" width="112" colspan="2" nowrap="nowrap"> </td><td valign="top" width="72" nowrap="nowrap"> </td><td valign="top" width="72" nowrap="nowrap"> </td><td valign="top" width="72" nowrap="nowrap"> </td><td valign="top" width="123" nowrap="nowrap"> </td><td valign="top" width="177" nowrap="nowrap"> </td><td valign="top" width="72" nowrap="nowrap"> </td><td valign="top" width="72" nowrap="nowrap"> </td><td valign="top" width="72" nowrap="nowrap"> </td><td valign="top" width="72" nowrap="nowrap"> </td><td valign="top" width="72" nowrap="nowrap"> </td><td valign="top" width="72" nowrap="nowrap"> </td><td valign="top" width="72" nowrap="nowrap"> </td><td valign="top" width="72" nowrap="nowrap"> </td><td valign="top" width="72" nowrap="nowrap"> </td></tr><tr><td valign="top" width="1276" colspan="16" nowrap="nowrap"><p class="MsoNormal"><strong><span>总工会困难职工（农民工）子女上大学救助申请表</span><span lang="EN-US"><o:p></o:p></span></strong></p></td></tr><tr><td valign="top" rowspan="9" width="40"><p class="MsoNormal"><span>困难职工情况</span></p></td><td valign="top" rowspan="2" width="72"><p class="MsoNormal"><span lang="EN-US"><span>*</span></span><span>家长姓名</span></p></td><td valign="top" rowspan="2" width="72"><p class="MsoNormal"><span lang="EN-US"><span>*</span></span><span>性别</span></p></td><td valign="top" rowspan="2" width="72"><p class="MsoNormal"><span lang="EN-US"><span>*</span></span><span>出生年月</span></p></td><td valign="top" rowspan="2" width="72"><p class="MsoNormal"><span>政治面貌</span></p></td><td valign="top" rowspan="2" width="123"><p class="MsoNormal"><span lang="EN-US"><span>*</span></span><span>身份证号码</span></p></td><td valign="top" rowspan="2" width="321" colspan="3"><p class="MsoNormal"><span lang="EN-US"><span>*</span></span><span>工作单位</span></p></td><td valign="top" rowspan="2" width="72"><p class="MsoNormal"><span lang="EN-US"><span>*</span></span><span>本人月收入</span></p></td><td valign="top" width="72"><p class="MsoNormal"><span lang="EN-US"><span>*</span></span><span>困难类别</span></p></td><td valign="top" width="216" colspan="3"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72" nowrap="nowrap"> </td><td valign="top" width="72" nowrap="nowrap"> </td></tr><tr><td valign="top" width="72"><p class="MsoNormal"><span>健康状况</span></p></td><td valign="top" width="72"><p class="MsoNormal"><span>残疾类别</span></p></td><td valign="top" width="72"><p class="MsoNormal"><span>工作状态</span></p></td><td valign="top" width="72" nowrap="nowrap"><p class="MsoNormal"><span>工作时间</span></p></td><td valign="top" width="72" nowrap="nowrap"> </td><td valign="top" width="72" nowrap="nowrap"> </td></tr><tr><td valign="top" width="72"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72"><p class="MsoNormal"><span></span></p></td><td valign="top" width="123"><p class="MsoNormal"><span></span></p></td><td valign="top" width="321" colspan="3"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72" nowrap="nowrap"> </td><td valign="top" width="72" nowrap="nowrap"> </td></tr><tr><td valign="top" width="72"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72"><p class="MsoNormal"><span></span></p></td><td valign="top" width="123"><p class="MsoNormal"><span></span></p></td><td valign="top" width="321" colspan="3"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72" nowrap="nowrap"> </td><td valign="top" width="72" nowrap="nowrap"> </td></tr><tr><td valign="top" rowspan="2" width="144" colspan="2" nowrap="nowrap"><p class="MsoNormal"><span lang="EN-US"><span><span> </span>*</span></span><span>医保状况</span></p></td><td valign="top" rowspan="2" width="144" colspan="2"><p class="MsoNormal"><span lang="EN-US"><span>*</span></span><span>联系电话</span></p></td><td valign="top" rowspan="2" width="123"><p class="MsoNormal"><span lang="EN-US"><span>*</span></span><span>家庭月总收入</span></p></td><td valign="top" rowspan="2" width="177"><p class="MsoNormal"><span lang="EN-US"><span>*</span></span><span>家庭人均月收入</span></p></td><td valign="top" rowspan="2" width="144" colspan="2"><p class="MsoNormal"><span lang="EN-US"><span>*</span></span><span>是否建档（是、否）</span></p></td><td valign="top" rowspan="2" width="360" colspan="5"><p class="MsoNormal"><span lang="EN-US"><span>*</span></span><span>家庭详细地址</span></p></td><td valign="top" width="72"> </td><td valign="top" width="72"> </td></tr><tr><td valign="top" width="72"> </td><td valign="top" width="72"> </td></tr><tr><td valign="top" width="144" colspan="2"><p class="MsoNormal"><span></span></p></td><td valign="top" width="144" colspan="2"><p class="MsoNormal"><span></span></p></td><td valign="top" width="123"><p class="MsoNormal"><span></span></p></td><td valign="top" width="177"><p class="MsoNormal"><span></span></p></td><td valign="top" width="144" colspan="2"><p class="MsoNormal"><span></span></p></td><td valign="top" width="360" colspan="5"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72"> </td><td valign="top" width="72"> </td></tr><tr><td valign="top" width="288" colspan="4" nowrap="nowrap"><p class="MsoNormal"><span lang="EN-US"><span>*</span></span><span>银行账号</span></p></td><td valign="top" width="123" nowrap="nowrap"><p class="MsoNormal"><span lang="EN-US"><span><span> </span>*</span></span><span>所属行业</span></p></td><td valign="top" width="177" nowrap="nowrap"><p class="MsoNormal"><span lang="EN-US"><span><span> </span>*</span></span><span>户口所在地行政区划</span></p></td><td valign="top" width="72" nowrap="nowrap"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72" nowrap="nowrap"><p class="MsoNormal"><span></span></p></td><td valign="top" width="144" colspan="2"><p class="MsoNormal"><span lang="EN-US"><span>*</span></span><span>户口类型</span></p></td><td valign="top" width="72" nowrap="nowrap"><p class="MsoNormal"><span lang="EN-US"><span>*</span></span><span>住房类型</span></p></td><td valign="top" width="144" colspan="2"><p class="MsoNormal"><span lang="EN-US"><span>*</span></span><span>婚姻状况</span></p></td><td valign="top" width="72" nowrap="nowrap"> </td><td valign="top" width="72" nowrap="nowrap"> </td></tr><tr><td valign="top" width="288" colspan="4"><p class="MsoNormal"><span></span></p></td><td valign="top" width="123"><p class="MsoNormal"><span></span></p></td><td valign="top" width="321" colspan="3"><p class="MsoNormal"><span></span></p></td><td valign="top" width="144" colspan="2"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72"><p class="MsoNormal"><span></span></p></td><td valign="top" width="144" colspan="2"><p class="MsoNormal"><span></span></p></td><td valign="top" width="144" colspan="2"> </td></tr><tr><td valign="top" rowspan="3" width="40"><p class="MsoNormal"><span>子女情况</span></p></td><td valign="top" rowspan="2" width="72"><p class="MsoNormal"><span lang="EN-US"><span>*</span></span><span>姓名</span></p></td><td valign="top" rowspan="2" width="72"><p class="MsoNormal"><span lang="EN-US"><span>*</span></span><span>性别</span></p></td><td valign="top" rowspan="2" width="72"><p class="MsoNormal"><span lang="EN-US"><span>*</span></span><span>出生年月</span></p></td><td valign="top" rowspan="2" width="195" colspan="2"><p class="MsoNormal"><span lang="EN-US"><span>*</span></span><span>身份证号码</span></p></td><td valign="top" rowspan="2" width="249" colspan="2"><p class="MsoNormal"><span lang="EN-US"><span>*</span></span><span>录取学校</span></p></td><td valign="top" rowspan="2" width="72"><p class="MsoNormal"><span lang="EN-US"><span>*</span></span><span>录取通知书号码</span></p></td><td valign="top" rowspan="2" width="144" colspan="2"><p class="MsoNormal"><span lang="EN-US"><span>*</span></span><span>高考分数</span></p></td><td valign="top" rowspan="2" width="216" colspan="3"><p class="MsoNormal"><span lang="EN-US"><span>*</span></span><span>准考证号</span></p></td><td valign="top" width="72"> </td><td valign="top" width="72"> </td></tr><tr><td valign="top" width="72"> </td><td valign="top" width="72"> </td></tr><tr><td valign="top" width="72"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72"><p class="MsoNormal"><span></span></p></td><td valign="top" width="195" colspan="2"><p class="MsoNormal"><span></span></p></td><td valign="top" width="249" colspan="2"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72"><p class="MsoNormal"><span></span></p></td><td valign="top" width="144" colspan="2"><p class="MsoNormal"><span></span></p></td><td valign="top" width="216" colspan="3"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72"> </td><td valign="top" width="72"> </td></tr><tr><td valign="top" rowspan="6" width="40"><p class="MsoNormal"><span>审批意见</span></p></td><td valign="top" width="411" colspan="5"><p class="MsoNormal"><span lang="EN-US"><span>*</span></span><span>基层工会意见（</span><span lang="EN-US"><span>*</span></span><span>困难原因及意见）</span></p></td><td valign="top" width="321" colspan="3"><p class="MsoNormal"><span lang="EN-US"><span>*</span></span><span>上级主管工会意见</span></p></td><td valign="top" width="360" colspan="5"><p class="MsoNormal"><span lang="EN-US"><span>*</span></span><span>市总工会意见</span></p></td><td valign="top" width="72"> </td><td valign="top" width="72"> </td></tr><tr><td valign="top" width="411" colspan="5"><p class="MsoNormal"><span></span></p></td><td valign="top" width="321" colspan="3"><p class="MsoNormal"><span></span></p></td><td valign="top" width="360" colspan="5"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72"> </td><td valign="top" width="72"> </td></tr><tr><td valign="top" width="411" colspan="5"><p class="MsoNormal"><span></span></p></td><td valign="top" width="321" colspan="3"><p class="MsoNormal"><span></span></p></td><td valign="top" width="360" colspan="5"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72"> </td><td valign="top" width="72"> </td></tr><tr><td valign="top" width="411" colspan="5"><p class="MsoNormal"><span></span></p></td><td valign="top" width="177" nowrap="nowrap"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72" nowrap="nowrap"> </td><td valign="top" width="72" nowrap="nowrap"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72" nowrap="nowrap"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72" nowrap="nowrap"> </td><td valign="top" width="72" nowrap="nowrap"> </td><td valign="top" width="72" nowrap="nowrap"> </td><td valign="top" width="72" nowrap="nowrap"><p class="MsoNormal"><span></span></p></td><td valign="top" width="72" nowrap="nowrap"> </td><td valign="top" width="72" nowrap="nowrap"> </td></tr><tr><td valign="top" width="411" colspan="5"><p class="MsoNormal"><span lang="EN-US"><span>*</span></span><span>审核人签字：</span><span lang="EN-US"><span><span> </span></span></span><span>单位盖章</span></p></td><td valign="top" width="321" colspan="3"><p class="MsoNormal"><span lang="EN-US"><span>*</span></span><span>审核人签字：</span><span lang="EN-US"><span><span> </span></span></span><span>单位盖章</span></p></td><td valign="top" width="360" colspan="5"><p class="MsoNormal"><span>盖章</span></p></td><td valign="top" width="72"> </td><td valign="top" width="72"> </td></tr><tr><td valign="top" width="411" colspan="5"><p class="MsoNormal"><span>年</span><span lang="EN-US"><span><span> </span></span></span><span>月</span><span lang="EN-US"><span><span> </span></span></span><span>日</span></p></td><td valign="top" width="321" colspan="3"><p class="MsoNormal"><span>年</span><span lang="EN-US"><span><span> </span></span></span><span>月</span><span lang="EN-US"><span><span> </span></span></span><span>日</span></p></td><td valign="top" width="360" colspan="5"><p class="MsoNormal"><span>年</span><span lang="EN-US"><span><span> </span></span></span><span>月</span><span lang="EN-US"><span><span> </span></span></span><span>日</span></p></td><td valign="top" width="72"> </td><td valign="top" width="72"> </td></tr><tr><td valign="top" width="1132" colspan="14"><p class="MsoNormal"><span>备注：（</span><span lang="EN-US"><span>*</span></span><span>为必填项）单位推荐必须上报：</span><span lang="EN-US"><span>1</span></span><span>、大学生救助申请表。</span><span lang="EN-US"><span>2</span></span><span>、家庭困难证明。</span><span lang="EN-US"><span>3</span></span><span>、家长和学生身份证复印件及户口本复印件。</span><span lang="EN-US"><span>4</span></span><span>、学生准考证复印件及分数条。</span><span lang="EN-US"><span>5</span></span><span>、录取通知书复印件。</span><span lang="EN-US"><span>6</span></span><span>、农民工提供劳动合同复印件。</span><span lang="EN-US"><span>7</span></span><span>、提供一个本地工行银行帐号，若非工行账号，请写明开户支行名称。</span><span lang="EN-US"><span>8</span></span><span>、单位公示公告原件（加盖工会印章）。</span></p></td><td valign="top" width="72"> </td><td valign="top" width="72"> </td></tr></tbody></table><span></span></p>
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