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["北京化工大学-中国五矿2024年夏令营申请表"]
["（供2025年应届本科毕业生使用）"]
["姓   名",{"$nulls":4},"身份证号",{"$nulls":10},"照\n\n\n片\n一寸免冠正面近照\n \n"]
["性  别",{"$nulls":4},"政治面貌"]
["民  族",{"$nulls":4},"出生日期"]
["通 讯 地 址\n及邮政编码"]
["家 庭 地 址"]
["联系电话\n（含手机）",{"$nulls":8},"E-mail "]
["本科院系",{"$nulls":13},"入学时间"]
["外语类型",{"$nulls":13},"外语成绩"]
["学 习 专 业",{"$nulls":13},"预计毕业时间"]
["申\n请\n项\n目","意向攻读类别",{"$nulls":12},"请填写硕士或直博"]
[null,"意向研究方向",{"$nulls":12},"请参照报名通知"]
[null,"意 向 营 区",{"$nulls":12},"请填写北京营区或湖南营区"]
["发表论文和其它研究成果情况："]
[]
["申请人所学专业的同年级总人数为       人，\n申请人三学年总评成绩在本专业（同年级）预计排名为第       名。"]
[]
["申请人个人陈述（限700字以内）"]
[]
["备注"]
["本人保证，以上所填全部内容（包括本人所提供的全部申请材料）均符合本人真实情况，本人对此承担一切责任。"]
["申请人签字：________________"]
["年    月    日"]

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