Certification Form for Family Economically Disadvantaged Students'Colleges (Departments) college system Number of students with financial difficulties Proportion of the number of students in a college or department After my application, the college (department) identified the following students as students with financial difficulties in the college (department) family. Seri al num ber Student ID Full name college system Class identification Degree of economic difficulty month (Official Seal) Signature of Academic (Department) Recognition Working Group year

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