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["佛山市三水区乐平镇人民医院员工政审表"]
["姓名",null,"性别",null,"出生        年月",null,"籍贯",null,null,"贴相片          （小一寸）"]
["身份证号",{"$nulls":5},"民族"]
["政治           面貌",null,"入党、团时间",null,null,"参加工作时间"]
["所学        专业",null,"学位",null,"职称",null,"婚姻        状况"]
["毕业      院校",null,null,"学历          程度",null,"有何专长"]
["现工作单位及职务",{"$nulls":5},"联系电话"]
["现详细             住址",{"$nulls":5},"现户口                         所在地"]
["主要家庭成员情况","与本人关系","姓名",null,"性别","年龄","现工作单位或住址"]
[]
[]
[]
[]
["个人简历",{"$nulls":6},"处分情况\n获奖或受"]
[]
[]
[]
["所在单位鉴定意见",{"$nulls":4},"计生管理部门意见            户口所在镇︵街道︶         "]
[]
[]
[{"$nulls":9},"（盖章）"]
[{"$nulls":9},"年      月      日"]
[{"$nulls":3},"（盖章）",null,null,"注：主要加具婚姻状况及是否违犯计划生育情况证明意见。"]
[{"$nulls":3},"年       月       日"]
["审查意见      户口所在地派出所",{"$nulls":4},"录用单位综合审查意见"]
[]
[]
[{"$nulls":3},"（盖章）"]
[{"$nulls":3},"年       月       日"]
[{"$nulls":9},"（盖章）"]
[null,"注：主要审查有无违法犯罪纪录。",{"$nulls":7},"年      月      日"]
["说明：对有否参与“法轮功”等非法组织的政治审查意见到各户藉管辖地的防范和处理邪教问题领导小组办公室出具。"]