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["2022年中医住院医师（中医全科医师）规范化培训单位委培学员报名表"]
["医院(公章)：填写单位名称加盖公章                 单位负责人（签字）：                   单位联系人：                     单位电话：                          单位邮箱：               填表日期："]
["序号","报考单位","姓名","报考专业一","报考专业二","是否服从调剂","应届/往届","身份证号码","性别","出生年月日","民族","外语等级","第一学历院校","第一学历专业","第一学历毕业时间","第一学历","第一学位","最高学历院校","最高学历专业","最高学历毕业时间","最高\n学历","最高学位","最高学历毕业证书编号","最高学位证书编号","最高学位证书类型","是否有医师资格证","手机号码","邮箱"]
["填表说明行，打印时请删除此行","三选一：广州中医药大学第一附属医院/梅州市第二中医医院/茂名市中医院",null,"下拉三角选择","下拉三角选择","下拉三角选择","下拉三角选择","18位数",{"$nulls":3},"下拉三角选择",{"$nulls":3},"下拉三角选择","下拉三角选择",null,null,"应届生填写预计毕业时间","下拉三角选择","下拉三角选择","18位数\n（未发证可留空）","16位数\n（未发证可留空）","下拉三角选择","下拉三角选择","必填","必填"]
[1,null,"XXX","中医","中医全科","是","往届",null,"女","1993-02-23","汉族","大学英语四级","XXXX","XXXX","2017-06-30","大学本科教育","学士","XXXX","XXXX","2020-06-30","研究生","硕士","136431201705001746","1364342017000440","无","否"]
[2]
[3]
[4]
[5]
[6]
[7]
[8]
[9]
["卫健局审批意见",{"$nulls":3},"                                                                                                                   主管部门 （盖章）\n                                                                                                                             年　　月　　日\n"]
["备注：\n1、此表由委培单位填写，并保证所填信息属实。报考人所在单位同意以委托培养方式派送至报考单位进行中医住院医师规范化培训学习，培训期间由委培单位管理其人事档案、发放基本工资及购买基本社会保险，并严格遵守培训基地相关规定。如单位同时委培多人，所有人员信息汇总至一张表格即可。\n2、此表A3纸打印，加盖单位公章，经单位所属卫健局主管部门审批后连同报考人证件材料（身份证、学历证书、学位证书、医师资格证复印件）快递至“广州市白云区机场路12号广州中医药大学第一附属医院人事处”，联系方式020-36591665，吴老师。此表电子版（.xls格式）及报考人证件材料扫描件发送至邮箱rsk1341@163.com，表格及邮件主题命名为“单位名称-选送人姓名-委培报名表”。"]

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["广州中医药大学第一附属医院"]
["梅州市第二中医医院"]
["茂名市中医院"]