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["附件3："]
["巩义市2021年特岗全科医生招聘报名表"]
[" 报名序号：",{"$nulls":3},"     填表时间:        年    月    日"]
["姓 名",null,"性 别 ",null,"民 族 ",null,"照   片"]
["籍 贯 ",null,"出生年月 ",null,"政治面貌 "]
["学 历 ",null,"学 位 ",null,"毕业时间 "]
["毕业院校 "," ",null,"毕业时间及所学专业 "]
["身份证号 ",{"$nulls":3},"家庭住址 "]
["是否具有     执业医师资格",null,"执业类别",null,"执业范围"]
["现有专业技术   资格",{"$nulls":3},"工作单位"]
["报考岗位及代码","                               （按“附件1”中“招聘岗位”及“岗位代码”填写）"]
["联系电话1",{"$nulls":3},"联系电话2"]
["                                         简 历\n（自高中时填起）         ","XX年XX月至XX年XX月，在XXX工作（学习）。\n"]
[]
[]
[]
[]
["报名人       承  诺\n ","    本表所填信息及照片均真实有效且与本人相符，如有虚假或隐瞒本人真实情况的，本人自愿承担由此带来的一切后果。"]
[null,"                          报名人签名："]
["资格审       查意见","审查意见：\n\n                                           审查人签名："]
[]
["     注:1、“报名序号”由工作人员统一填写。"]
["        2、请用黑色水笔填写，要求字迹工整、清晰，内容完整、准确；"]
["        3、本表照片处贴一寸、免冠、正面、彩色近照一张；"]

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