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[]
["南通市新城桥街道社区卫生服务中心报名表                 "]
["姓  名",null,null,"性  别",null,"出生年月",null,"近期电子照片粘贴处"]
["学  历",null,null,"籍  贯",null,"政治面貌"]
["身份证号码",{"$nulls":4},"移动电话"]
["执业资格证",{"$nulls":4},"学历"]
["毕业学校",{"$nulls":4},"专业"]
["家庭住址"]
["紧急联系人及电话",{"$nulls":4},"应聘岗位"]
["家庭主要成员","关  系",null,"姓   名",null,"工作单位",null,"担任职务"]
[]
[]
[]
["学习  经历","起迄时间",null,"学校名称",null,"专   业",null,"学   历"]
[]
[]
[]
["工作经历（作为报名审核重要依据，请详细填写）"]
[]
["声明","本人提供的上述报考信息完全真实有效，符合报考条件，如有不实，由此产生的一切后果由本人负责。"]
[null,"本人确认（签字）：                      日期：     年    月   日"]
["审核","初审意见：",{"$nulls":3},"复审意见："]
[null,"审核人：",{"$nulls":3},"审核人："]
[null,"年    月    日",{"$nulls":3},"年   月   日"]