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["2019级新生户口信息统计表"]
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["二级学院盖章                            专业班级：                           本：□      专：□"]
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["序号","姓  名","性别","宿舍号","原户口所在地","身份证号码","身高\n（cm)","血型","迁移证上交情况","是否入户","学生联系方式","备注"]
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["备注：","总人数：                        未入户人数：                         入户人数："]
[" 辅导员签字：                  辅导员联系方式：              部门负责人签字：                   年     月     日                                            "]
["备注：1、请按“是”在上“否”在下的顺序进行排序上报。                   2、以班级为单位填写学生信息。"]

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