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[]
["上海理工大学征兵学生信息登记表"]
["个\n人\n基\n本\n信\n息 ","姓名",null,"学号",null,"学院"]
[null,"性别","男○   女○","年级",null,"政治面貌"]
[null,"出生年月",null,"户籍性质","农业○      城镇○"]
[null,"联系方式",null,null,"分管辅导员"]
[null,"身份证号码"]
[null,"入学前户籍地址"]
[null,"现户籍地址（户口迁至学校填学校）"]
["身\n体\n情\n况\n初\n检","净身高",null,null,"体重"]
[null,"裸眼视力","左",null,"右"]
["家\n属\n情\n况","父亲姓名",null,"联系方式"]
[null,"母亲姓名",null,"联系方式"]
[null,"辅导员是否联系家长",null,"是","○","否","○"]
[null,"家属对学生入伍态度\n（辅导员填写）",null,"                             签名"]
["备注"]
["填表人签名：",{"$nulls":3},"填表日期："]

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