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["魏县2017年公开招聘卫生专业技术人员建档立卡贫困户岗位报考者信息确认表"]
["                                                        填表日期："]
["姓  名",null,null,"性别",null,"民族",null,"政治面貌",null,"照片"]
["出生日期",null,null,"婚姻状况",null,null,"健康状况"]
["户籍所在地",{"$nulls":3},"身份证号"]
["联系方式",{"$nulls":3},"是否建档立卡贫困户"]
["毕业院校及专业",{"$nulls":3},"毕业时间"]
["毕业证号",{"$nulls":3},"学位",null,null,"学位证号"]
["是否具有执业医师（助理）资格证",null,null,"是否具有护士资格证",null,null,"资格证号"]
["报考单位名称",null,null,"报考招聘岗位名称",{"$nulls":3},"报考岗位代码"]
["学历及工作简历","（从高中填起，时间连续至今；中专的从初中填起。）"]
[]
["村委会意见","经核查，信息属实。",{"$nulls":3},"乡镇政府意见","经核查，信息属实。"]
[null,"     审核人签字：",{"$nulls":4},"       审核人签字："]
[null,"（村委会盖章）",{"$nulls":4},"（乡镇政府盖章）"]
[null,"             年   月   日",{"$nulls":4},"           年  月   日"]
["县有关部门意见","    经核查，信息属实。\n                        审核人签字：            \n                                                  （盖章）\n                                                     \n                                                   年  月  日"]
["本人承诺：所填信息全部真实有效，如有弄虚作假，承诺自动放弃考试和聘用资格，并承担相应责任。"]
["报考人签名：                               年   月   日"]
["招聘领导小组资格审核意见","    审核人签字："]
[]
[null,"                                       年   月   日"]
["备注","1、报考岗位：详见公开招聘卫生专业技术人员岗位条件表；2、报名表一式两份，填写完整A4纸打印，涂改无效，报名完成后不允许修改。"]

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