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["附件1"]
["珠海市斗门区长者饭堂助餐补贴申请表"]
["姓名",null,null,"出生年月",null,"照片"]
["身份证号",null,null,"性别"]
["家庭住址"]
["联系方式 "]
["紧急联系人","姓名",null,"手机"]
["助餐补贴","第一类助餐\n补贴对象"," □斗门区户籍百岁老人"]
[null,null," □斗门区户籍“三无”和农村特困老年人，低保及低收入家庭老年人"]
[null,null," □斗门区户籍享受国家抚恤补助待遇的“三属五老”人员"]
[null,null," □斗门区户籍纳入扶助范围的计划生育特别扶助家庭老年人"]
[null,"第二类助餐\n补贴对象"," □除第一类助餐补贴对象以外年满70周岁的斗门区户籍老年人"]
[null,"第三类助餐\n补贴对象"," □除第一类助餐补贴对象以外60-69周岁的斗门区户籍老年人"]
[null,"第四类助餐\n补贴对象","□年满60周岁的非斗门区户籍的珠海户籍老年人"]
["   本人承诺所提供资料真实有效，遵守《斗门区长者饭堂运营管理工作方案》有关规定，自愿接受长者饭堂服务。如有不实或违反有关规定，承担全部法律责任。                                                            \n\n                                 申请人：                     年   月   日                                                              "]
["社区居委会\n初审意见","      \n                                经办人：\n \n                                                      （盖章）\n\n                                                  年   月   日"]
["镇（街道）主管部门\n审核意见","\n         经办人：               审核人：              \n\n                                                       (盖章)\n\n                                                   年   月   日"]
["附件清单","1.老年人身份证或户口簿复印件；2.第一类补贴对象需提供相关证明材料。"]