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["乌海职业技术学院“乌兰夫奖学金”申请学生备案表"]
["  系部（公章）：                         报送日期：                         注：获奖学生只允许在校期间获得一次乌兰夫奖学金"]
["序号","学生姓名","学号","专业","性别","民族","班级","身份证号","建行卡号","家庭地址","联系电话","申请理由简介"]
["例","王XX","2021XXX278","学前\n教育","男","汉族","2021级\n学前6班","152723XXXXXXXXX0093","6217XXXXXXXXXXX9239","内蒙古鄂尔多斯市准格尔旗\n沙圪堵镇八一南路光明小区八号楼一单元301","180XXXX\n5616","综合测评年级第一；榜样青春2021年“十大青年学子”称号；国家奖学金获得者"]
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["注：家庭地址要详细填写到村（嘎查）、街道的门牌号。"]