2014年岳阳市市区初中毕业学业考试体育测试参考报名表
学校(盖章)： 填报人： 联系电话： 填表时间： 第 组
|
序号 |
学籍号 |
姓名 |
性别 |
学校测试部分 |
统一测试部分 |
体育测试总分 |
参考 情况 | |||||||||||
|
体育课 考试成绩 |
体育锻炼 考核成绩 |
体质健康 测试成绩 |
小计 |
1000/800米 测试成绩 |
得分 |
立定跳远 测试成绩 |
得分 |
跳绳测试成绩 |
得分 |
排球垫球 测试成绩 |
得分 |
小计 | ||||||
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1 |
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2 |
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3 |
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4 |
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5 |
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6 |
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7 |
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8 |
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9 |
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10 |
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11 |
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12 |
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13 |
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14 |
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15 |
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16 |
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17 |
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18 |
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19 |
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20 |
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21 |
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22 |
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23 |
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24 |
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25 |
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26 |
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27 |
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28 |
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29 |
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30 |
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注、1．分男女按自选项目为跳绳或排球垫球分开填报，如选报排球，在排球垫球栏中打“√”； 2．学籍号以岳阳市基教管理平台内的学籍号为准，按从小到大顺序排列，报名时须填好学校测试成绩； 3．每页填报人数为30人，超过部分另起一页；4．纸质文档和电子文档分别报送7份和1份，并发送邮件至cjk8225236@163.com；5．免考、缓考、缺考情况请在参考情况栏注明，并具体说明某一个项目或全部项目。