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["报名登记表"]
[2020,"年  11  月  22  日 填"]
["姓名","周星星","性别","男","出生年月","1980-06-01","民族","汉族","粘贴照片（打印照片也可）"]
["出生地","XX省XX市XX县(区）XX乡XX村",null,null,"户口所在地","XX省XX市XX县(区）XX乡XX村"]
["报考岗位代码-名称","001-普通内科执业规培医师","血型","B型","身高","  176CM","体重","       70KG"]
["报名有效学历","硕士研究生\n大学本科\n大学专科","学历性质","国家统招\n民办统招\n非统招","授予学位","硕士\n学士\n无","所学专业","临床\n医学"]
["政治面貌","中共党员","何时何地何人介绍加入团、党、何时转正",null,"2002.7.1滨州医学院，经李义介绍入党，2003.7.1转正",null,null,"婚姻情况","已婚"]
["家庭主要成员            ","称谓          姓名               单位                职务         政治面貌                            "]
[null,"父亲         周海明           德州市卫生局          行政科长      中共党员  "]
[null,"母亲         王淑青           德州市实验高中        教师          群众      "]
[null,"妻子         刘兰             德州建行              会计          群众"]
[]
["家庭住址","德州市德城区、新湖街道、红星社区、国贸花园11号楼502室"]
["进修学习、规培经历","  时间起止               单位                      专业          是否已完成                           "]
[null,"2004-1至2004-12        北京协和医院进修学习       心内科             已完成"]
[null,"2008-10至2011-10       齐鲁医院规培学习           心内科             已完成    "]
[]
["执业资格证名称\n(如：执业医师、执业护士等)",null,null,"执业医师","取得时间","2010-12-01","注册范围","内科临床"]
["专业技术职称职务取得情况\n(如：医师、主治医师、副主任医师等)",null,null,"医师  2010.8.1  证号:2011030389",null,null,"主治医师  2015.12.2 证号:20130392929"]
[{"$nulls":3},"副主任医师  2016.12.12 证号:20160392569",null,null,"职称证从事专业：心内科"]
["身份证号码：372401198006010017",null,null,"个人档案存放地点：德城区人才中心",null,null,"社保账户(医保\\养老等)缴费情况：事业养老保险自2003年8月起交至2005年1月"]
["手机号1：13805345611\n手机号2：13805346624",null,null,"劳动合同签定情况:2003.8-2005.1德州市XX医院,2005.2-2010.2德州市立医院",null,null,"住房公积金缴费情况：事业账户自2003年8月起交至2005年1月"]
["本 人 详 细 经 历"]
["起 止 年 月\n（从高中起填起经历）",null,"学 习、工 作 单 位\n（学校、专业、学历性质、层次、学位、学制）",{"$nulls":4},"是否双一流高校","学校所在地"]
["1995.9-1998.7",null,"德州一中、高中",{"$nulls":4},"否","山东德州"]
["1998.9-2001.7",null,"滨州医学院、医士专业、统招专科、3年",{"$nulls":4},"否","山东烟台"]
["1998.9-2003.7",null,"滨州医学院、临床医学专业、统招本科、学士、5年",{"$nulls":4},"否","山东烟台"]
["2003.8-2005.1",null,"德州市XX医院、心内科、主治医师"]
["2004.1-2004.12",null,"北京协和医院、心内科、进修学习"]
["2005.2--",null,"德州市立医院"]
[]
[]
[]
[null,"报名人员签名：",null,"（                      ）"]

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["附件2","报名登记表"]
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["家庭主要成员            ","称谓          姓名               单位                职务         政治面貌                            "]
[]
[]
[]
[]
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["进修学习、规培经历","  时间起止               单位              专业               是否已完成                           "]
[]
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["本 人 详 细 经 历"]
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