全國中小學(xué)生學(xué)籍管理系統(tǒng)學(xué)生基本信息采集表

全國中小學(xué)生學(xué)籍管理系統(tǒng)學(xué)生基本信息采集表1.您的姓名：[填空題]*_________________________________2.性別：[單選題]*○男○女3.請輸入您的出生日期：[填空題]*_________________________________4.出生地[填空題]*_________________________________5.籍貫[填空題]*_________________________________6.民族[填空題]*_________________________________7.國籍/地區(qū)[填空題]*中國_________________________________8.身份證類型[填空題]*居民身份證_________________________________9.身份證件號[填空題]*_________________________________10.港澳臺僑外[填空題]不屬于就不用填寫_________________________________11.健康狀況[填空題]*_________________________________12.政治面貌[填空題]*_________________________________13.曾用名[填空題]*_________________________________14.戶口所在地[填空題]*_________________________________15.戶口性質(zhì)[單選題]*○農(nóng)業(yè)戶口○非農(nóng)業(yè)戶口16.年級[填空題]*_________________________________17.班級[填空題]*_________________________________18.入學(xué)年月[填空題]*_________________________________19.入學(xué)方式[填空題]*_________________________________20.就讀方式[填空題]*_________________________________21.現(xiàn)住址[填空題]*_________________________________22.通信地址[填空題]*_________________________________23.家庭地址[填空題]*_________________________________24.郵政編碼[填空題]*_________________________________25.聯(lián)系電話[填空題]*_________________________________26.是否獨生子女[單選題]*○是○否27.是否受過學(xué)前教育[單選題]*○是○否28.是否留守兒童[單選題]*○是○否29.是否農(nóng)村留守兒童[單選題]*○是○否30.是否隨遷子女[單選題]*○是○否31.是否進城務(wù)工人員隨遷子女[單選題]*○是○否32.是否孤兒[單選題]*○是○否33.是否享受一補[單選題]*○是○否34.是否有政府購買學(xué)位[單選題]○是○否35.是否殘疾人[單選題]*○是○否36.是否需要申請資助[單選題]*○是○否37.是否烈士或優(yōu)撫子女[單選題]*○是○否38.監(jiān)護人1姓名[填空題]*_________________________________39.關(guān)系[填空題]*父親或母親_________________________________40.關(guān)系說明[填空題]*_________________________________41.民族[填空題]_________________________________42.工作單位[填空題]_________________________________43.現(xiàn)住址[填空題]*_________________________________44.戶口所在地[填空題]*_________________________________45.聯(lián)系電話[填空題]*_________________________________46.是否監(jiān)護人[單選題]*○是○否47.身份證件類型[填空題]*_________________________________48.身份證件號[填空題]*_________________________________49.監(jiān)護人2姓名[填空題]*_________________________________50.關(guān)系[填空題]*父親或母親_________________________________51.關(guān)系說明[填空題]*_________________________________52.民族[填空題]_________________________________53.工作單位[填空題]_________________________________54.現(xiàn)住址[填空題]*_________________________________55.戶口所在地[填空題]*_________________________________56.聯(lián)系電話[填空題]*_________________________________57.是否監(jiān)護人[單選題]*○是○否58.身份證件類型[填空題]*_________________