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["个人基本情况"]
[]
[]
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["姓名",null,"性别",{"$nulls":3},"民族",{"$nulls":3},"（近期一寸免冠照片）"]
[]
["出生年月",null,"婚姻情况",{"$nulls":3},"身份证号码"]
[]
["籍贯",null,"政治面貌",{"$nulls":3},"学历"]
[]
["学位",null,"毕业时间",{"$nulls":3},"毕业专业"]
[]
["毕业院校",null,"是否取得",{"$nulls":3},"电话号码"]
[null,null,"医师资格"]
["健康状况",null,"学员类型",null,"□单位人   □委培   □社会人"]
[]
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["工作单位",{"$nulls":3},"单位联系人及职务",null,null,"单位联系人电话"]
[]
[]
["申请报名----志愿信息"]
[]
[]
["培训医院",null,null,"拟培训专业",null,"是否同意调剂专业",null,null,"培训期间是否打算考研"]
[]
[]
[]
[]
[]
["请工整填写“我承诺以上信息真实可靠”。"]
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[]
[]
[]
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["                                               ------------------------------"]
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[]
[]
[]
[]
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["个人签字：                   日期：      年      月      日"]

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