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["附件2"]
["柳南区2021年基层卫生院公开招聘工作人员报名表"]
["报考岗位"]
["姓名",null,"性别",null,"出生年月",null,"贴照片处        （本人近期免冠1寸正面证件照）"]
["籍贯",null,"民族",null,"政治面貌"]
["婚姻状况",null,"身份证号"]
["学历","全日制教育",null,"毕业院校",null,"所学\n专业"]
[null,"在职教育",null,"毕业院校",null,"所学\n专业"]
["现专业技术职称",null,null,"获得\n时间",null,"加分情况","申请加    分"]
["现工作单位",{"$nulls":4},"职务"]
["家庭地址",{"$nulls":4},"联系\n电话"]
["个人简历（从高中开始填写）"]
["奖惩情况"]
["考生诚信承诺书"]
["    本人自愿报考柳南区公开招聘基层卫生院工作人员考试，且本人符合条件。我郑重承诺：本人所填写的报名信息及资格审查时所提供的个人信息、证明材料、证件等真实、准确。对因提供有关信息证件不实或违反有关纪律规定所造成的后果，本人自愿承担相应责任。    "]
["  本人签名：\n                                                     年      月      日"]
["审查意见",{"$nulls":3},"审查人签名      \n                  年     月      日"]