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["偏鄉地區人才獎學金-申請人明細表"]
["部門：社會公益組"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"總補助金額：________________",null,null,null,null,"申請期間："]
["序號","縣別","學校","系所","年級","姓名","申請別","性別","身分證字號","出生\n年月日","學生\n電話","通訊\n地址","上學期成績",null,"經濟\n情況","家庭收支狀況及補助需求說明",null,null,null,null,null,null,null,null,null,null,null,"助學金(元)"]
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["範例","台\n北","慶寶高中","普通科","國二、國三、高一","王小花","續申請","女","A123456789","2024-03-01","0932114586","台北市內湖區南京東路六段380號","學業成績(校排/系排)",null,"低收","家庭成員:","父親、姊姊、學生，共3人",null,null,null,null,null,"家庭每月總收入:",35000,null,"元/月",null,{"$f":"R7+T7+V7+X7+Z7+R9+T9+V9+X9+Z9","v":9350},{"$f":"R8+T8+V8+X8+Z8+R10+T10+V10+X10++Z10","v":0}]
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[null,null,null,null,null,null,null,null,null,null,null,null,2,"名(名次)",null,"審核補助:","(1)學雜費:",null,"元、(2)課輔費:",null,"元、(3)書籍費:",null,"元、(4)制服費:",null,"元、(5)文具費:",null,"元"]
[null,null,null,null,null,null,null,null,null,null,null,null,"德育成績",null,null,"申請補助:","(6)代辦費：",250,"元、(7)早餐費：",600,"元、(8)營養午餐費:",1200,"元、(9)交通/住宿費:",600,"元、(10)證照獎勵金",0,"元"]
[null,null,null,null,null,null,null,null,null,null,null,null,80,"分",null,"審核補助:","(6)代辦費：",null,"元、(7)早餐費：",null,"元、(8)營養午餐費:",null,"元、(9)交通/住宿費:",null,"元、(10)證照獎勵金",null,"元"]
[null,null,null,null,null,null,null,null,null,null,null,null,"學業成績(校排/系排)",null,"低收","家庭成員:",null,null,null,null,null,null,"家庭每月總收入:",null,null,"元/月",null,{"$f":"R12+T12+V12+X12+Z12+R14+T14+V14+X14+Z14","v":0},{"$f":"R13+T13+V13+X13+Z13+R15+T15+V15+X15++Z15","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"%(百分比)",null,"申請補助:","(1)學雜費:",null,"元、(2)課輔費:",null,"元、(3)書籍費:",null,"元、(4)制服費:",null,"元、(5)文具費:",0,"元"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,"分",null,"審核補助:","(6)代辦費：",null,"元、(7)早餐費：",null,"元、(8)營養午餐費:",null,"元、(9)交通/住宿費:",null,"元、(10)證照獎勵金",null,"元"]
[null,null,null,null,null,null,null,null,null,null,null,null,"學業成績(校排/系排)",null,"低收","家庭成員:",null,null,null,null,null,null,"家庭每月總收入:",null,null,"元/月",null,{"$f":"R17+T17+V17+X17+Z17+R19+T19+V19+X19+Z19","v":0},{"$f":"R18+T18+V18+X18+Z18+R20+T20+V20+X20++Z20","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"%(百分比)",null,"申請補助:","(1)學雜費:",null,"元、(2)課輔費:",null,"元、(3)書籍費:",null,"元、(4)制服費:",null,"元、(5)文具費:",0,"元"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"名(名次)",null,"審核補助:","(1)學雜費:",null,"元、(2)課輔費:",null,"元、(3)書籍費:",null,"元、(4)制服費:",null,"元、(5)文具費:",null,"元"]
[null,null,null,null,null,null,null,null,null,null,null,null,"德育成績",null,null,"申請補助:","(6)代辦費：",null,"元、(7)早餐費：",null,"元、(8)營養午餐費:",null,"元、(9)交通/住宿費:",null,"元、(10)證照獎勵金",0,"元"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"分",null,"審核補助:","(6)代辦費：",null,"元、(7)早餐費：",null,"元、(8)營養午餐費:",null,"元、(9)交通/住宿費:",null,"元、(10)證照獎勵金",null,"元"]
[null,null,null,null,null,null,null,null,null,null,null,null,"學業成績(校排/系排)",null,"低收","家庭成員:",null,null,null,null,null,null,"家庭每月總收入:",null,null,"元/月",null,{"$f":"R22+T22+V22+X22+Z22+R24+T24+V24+X24+Z24","v":0},{"$f":"R23+T23+V23+X23+Z23+R25+T25+V25+X25++Z25","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"%(百分比)",null,"申請補助:","(1)學雜費:",null,"元、(2)課輔費:",null,"元、(3)書籍費:",null,"元、(4)制服費:",null,"元、(5)文具費:",0,"元"]
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[null,null,null,null,null,null,null,null,null,null,null,null,"德育成績",null,null,"申請補助:","(6)代辦費：",null,"元、(7)早餐費：",null,"元、(8)營養午餐費:",null,"元、(9)交通/住宿費:",null,"元、(10)證照獎勵金",0,"元"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"分",null,"審核補助:","(6)代辦費：",null,"元、(7)早餐費：",null,"元、(8)營養午餐費:",null,"元、(9)交通/住宿費:",null,"元、(10)證照獎勵金",null,"元"]
[null,null,null,null,null,null,null,null,null,null,null,null,"學業成績(校排/系排)",null,"低收","家庭成員:",null,null,null,null,null,null,"家庭每月總收入:",null,null,"元/月",null,{"$f":"R27+T27+V27+X27+Z27+R29+T29+V29+X29+Z29","v":0},{"$f":"R28+T28+V28+X28+Z28+R30+T30+V30+X30++Z30","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"%(百分比)",null,"申請補助:","(1)學雜費:",null,"元、(2)課輔費:",null,"元、(3)書籍費:",null,"元、(4)制服費:",null,"元、(5)文具費:",0,"元"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"名(名次)",null,"審核補助:","(1)學雜費:",null,"元、(2)課輔費:",null,"元、(3)書籍費:",null,"元、(4)制服費:",null,"元、(5)文具費:",null,"元"]
[null,null,null,null,null,null,null,null,null,null,null,null,"德育成績",null,null,"申請補助:","(6)代辦費：",null,"元、(7)早餐費：",null,"元、(8)營養午餐費:",null,"元、(9)交通/住宿費:",null,"元、(10)證照獎勵金",0,"元"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"分",null,"審核補助:","(6)代辦費：",null,"元、(7)早餐費：",null,"元、(8)營養午餐費:",null,"元、(9)交通/住宿費:",null,"元、(10)證照獎勵金",null,"元"]
[null,null,null,null,null,null,null,null,null,null,null,null,"學業成績(校排/系排)",null,"低收","家庭成員:",null,null,null,null,null,null,"家庭每月總收入:",null,null,"元/月",null,{"$f":"R32+T32+V32+X32+Z32+R34+T34+V34+X34+Z34","v":0},{"$f":"R33+T33+V33+X33+Z33+R35+T35+V35+X35++Z35","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"%(百分比)",null,"申請補助:","(1)學雜費:",null,"元、(2)課輔費:",null,"元、(3)書籍費:",null,"元、(4)制服費:",null,"元、(5)文具費:",0,"元"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"名(名次)",null,"審核補助:","(1)學雜費:",null,"元、(2)課輔費:",null,"元、(3)書籍費:",null,"元、(4)制服費:",null,"元、(5)文具費:",null,"元"]
[null,null,null,null,null,null,null,null,null,null,null,null,"德育成績",null,null,"申請補助:","(6)代辦費：",null,"元、(7)早餐費：",null,"元、(8)營養午餐費:",null,"元、(9)交通/住宿費:",null,"元、(10)證照獎勵金",0,"元"]
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["合計",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(AB6:AB10)","v":9350},{"$f":"SUM(AC6:AC10)","v":0}]
["◎本表由承辦教師填寫，請填寫白色欄位，請勿變動格式及勿填寫粉色審核欄位，如欄位不足請自行複製使用。\n◎學生之個人資訊、成績及家庭經濟情況皆為必要填寫欄位。\n◎各項費用以一學期所需金額為申請上限，並以補助學生個人就學費用為原則。"]