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["2022年天河区启慧学校幼教班新生报名表"]
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["姓名",null,null,"性别",null,"民族",null,"照片           (1寸彩照)"]
["出生年月","  年   月  日",null,"籍贯",null,"出生地"]
["户口本详细地址（准确到门牌号）",{"$nulls":4},"入户时间","  年  月  日"]
["户口类别：居民(  ) 农业（  ）非农业（  ）其他（  ）"]
["居住地址",{"$nulls":3},"入住时间"," 年 月 日","现居住地址是否与户口地址相同","是（  ）        否（  ）"]
["有效居住 证明","房产证或购房合同、宅基地证",null,null,"其他有效 证明"]
["同父母\n一起居住",null,"同父\n一起居住",null,"同母\n一起居住",null,"独立(户主)或其他情况"]
["残疾类别、程度及鉴定机构",{"$nulls":3},"学前康复情况"]
["是否接受过其他学前教育  是（  ） 否（  ）",{"$nulls":3},"是否\"持证\"贫困家庭学生  是（  ） 否（  ） "]
["健康状况",{"$nulls":3},"需要特别说明的情况"]
["学生的\n身份证号",{"$nulls":5},"家庭电话"]
["家庭主要成员或监护人情况",null,"姓名","身份证号（必填）及工作单位、职务（选填）",{"$nulls":3},"联系电话（手机）"]
[null,"父亲"]
[]
[null,"母亲"]
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["材料审核人签名（2人）",{"$nulls":4},"校长审核签名（1人)"]
["学校\n录取\n意见",{"$nulls":5},"审核时间：    年  月  日"]

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