XLS《学生信息采集表》

"学生信息采集确认表",,

, "填表说明:

1、该表由学生或家长填写,请使用正楷字清楚填写,表格中灰色底纹的项目内容以户口簿为准;

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2、标有*号的项目为必填内容,家庭成员请根据实际情况填写;

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3、籍贯地、出生地、户口所在地,学校在制作学生导入模板时,需转换成6位数行政区划编码.

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, "编号","项目","内容","填写说明" "1","*姓名",,

"以户口簿为准" "2","*性别","男女","以户口簿为准,勾选" "3","*出生日期",,

"格式"年-月-日"如:2002-06-07" "4","*身份证件类型","无居民身份证香港特区护照/身份证明澳门特区护照/身份证明台湾居民来往大陆通行证境外永久居住证","勾选" "5","*身份证号",,

"以户口簿为准" "6","*民族"族","以户口簿为准,"?族"" "7","*监护人",,

"以户口簿为准,父亲或母亲姓名" "8","*监护人身份证号",,

"无身份证学生填写上述监护人的身份证号,学生本人有身份证的无需填写" "9","*户口类型","农业户口非农业户口","以户口簿为准,勾选" "10","*户口所在地",,

"学生填写"省市区县",如:安徽省合肥市高新区,导入时转换编码" "11","*户口所在派出所",,

"以户口簿为准,"XX派出所",如:高新派出所" "12","曾用名",,

"以户口簿为准" "13","特长",,

"根据实际情况填写" "14","*本地联系人姓名",,

"如实填写" "15","*本地联系人关系","父亲母亲祖父祖母外祖父外祖母兄弟姐姐妹妹继父或养父继母或养母其他伯父伯母叔父舅父舅母姨夫姨母姑父姑母","勾选" "16","*入学时间",,

"格式"年-月-日",如:2012-09-01" "17","*籍贯地",,

"学生填写"省市区县",如:安徽省合肥市高新区,导入时转换编码" "18","*出生地",,

"学生填写"省市区县",如:安徽省合肥市高新区,导入时转换编码" "19","*家庭住址",,

"填写家庭的详细住址" "20","家庭邮编",,

"如实填写" "21","*家庭联系人",,

"如实填写" "22","*家庭电话",,

"如实填写" "23","*父亲姓名",,

"以户口簿为准" "24","父亲单位",,

"如实填写" "25","*父亲电话",,

"如实填写" "26","父亲民族",,

"如实填写" "27","父亲户口所在地",,

"如实填写" "28","*母亲姓名",,

"以户口簿为准" "29","母亲单位",,

"如实填写" "30","*母亲电话",,

"如实填写" "31","母亲民族",,

"如实填写" "32","母亲户口所在地",,

"如实填写" "33","*学生类别","普通学生视力残疾学生听力残疾学生智力残疾学生肢体残疾学生病孩其他随班就读学生","勾选" "34","*学区外","是否","由学校填写,根据是否为本服务区,勾选" "35","*外地学生","是否","由学校填写,根据是否为本服务区,勾选" "36","*独生子女","是否","勾选" "37","*留守儿童","否随父母一方生活随祖父母生活寄宿学校留守儿童随其他亲戚生活独自生活","勾选" "38","*流动人口","否县内流动本省外县迁入外省迁入其他流动","由学校填写,根据是否为本服务区,勾选" "39","*入学方式","就近入学义务教育阶段其他","由学校填写,根据是否为本服务区,勾选" "40","*择校生","是否","由学校填写,根据是否为本服务区,勾选" "41","*就读方式","走读住校","由学校填写,根据是否为本服务区,勾选" "42","*健康状况","健康或良好一般或较弱有慢性病心血管病脑血管病慢性呼吸系统病慢性消化系统病慢性肾炎结核病糖尿病神经或精神疾病其他慢性病有生理缺陷聋哑盲人高度近视其他缺陷残疾特等残疾一等残疾二等甲残疾二等乙残疾三等甲残疾三等乙残疾其他残疾","勾选" "43","*港澳台侨","无归侨华侨侨眷港澳台胞外籍华人华籍外人非华裔外人其他","勾选(港澳台侨类学生无大陆身份证的可暂不填写身份证号)" "44","*家庭情况","正常低收入户外籍生外籍配偶子女教职员子女单亲隔代教养家长身心障碍家长身心障碍重度孤儿院","勾选" "45","*血型","未定血型A型B型AB型O型其他血型未知血型","勾选" "46","*身心障碍","无智能障碍视觉障碍听觉障碍语言障碍肢体障碍身体病弱严重情障学习障碍多重障碍自闭症发育迟缓其他显著障碍","勾选" "47","*是否受过学前教育","是否","勾选" "48","*是否孤儿","是否","勾选" "49","*是否烈士或优抚子女","是否","勾选" "50","*是否享受一补","是否","勾选" "51","上下学距离(公里)",,