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["附件2"]
["2019年北流市通过免笔试直接面试方式公开招聘基层医疗卫生事业单位专业技术人员报名表 "]
["序号：",{"$nulls":3},"填表日期：               年      月      日"]
["报考\n单位",{"$nulls":4},"报考\n岗位",{"$nulls":4},"张贴相片"]
["姓名",null,null,"性别",null,"民族",null,"籍贯"]
["出生  年月",null,null,"身份证\n号码",{"$nulls":3},"婚否"]
["学历","全日制\n教育",null,"毕业\n院校",{"$nulls":3},"专业"]
[null,"在职\n教育",null,"毕业\n院校",{"$nulls":3},"专业"]
["常住户籍所在地（或生源地）",{"$nulls":6},"联系\n电话"]
["执业                                                                                                                                                                                                                              资格",null,null,"取得执业资格时间",null,null,"职称\n资格                                                                                                              ",null,null,"取得职称资格时间"]
["是否为事业单位在编工作人员",{"$nulls":3},"现工作\n单位",{"$nulls":4},"参加工作时间"]
["（从初中开始填写）\n个人简历"]
["考核测评计分情况（由报名资格审核人员报名现场填写） ","加分项目",null,"加分依据",{"$nulls":5},"加分分值","审核人签名"]
[null,"执业资格",null,"执业医师10分（      ）；执业助理医师5分（      ）。"]
[{"$nulls":3},"取得资格时间：        年   月（年限：     年    月）"]
[null,"               学历\n",null,"全日制普通高校本科及以上学历5分。"]
[null,"职称资格",null,"医、技：师级以上5分（    ）；士级3分（     ）。"]
[null,"工作经历",null,"在基层医疗卫生机构工作满2年5分（年限：    年    个月）"]
[null,"三支一扶",null,"服务期满考核合格5分（年限：    年    个月）"]
["加分（只取分值最高一项）：    ",{"$nulls":3},"         分",{"$nulls":3},"报名者\n现场签名"]
["报名资格审查 意见","初审\n意见",{"$nulls":4},"复审\n意见"]
[null,"初审人\n签名",{"$nulls":4},"复审人\n签名"]
["本人承诺：本人所填写的信息及附交的材料真实、有效，如有不实，自愿放弃报名资格。"]
[{"$nulls":3},"承诺人：",{"$nulls":3},"      年      月      日   "]

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