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["   雷州市公开选聘镇（街道）残疾人专职委员报名表                                     "]
[]
[{"$nulls":5},"日期：    年   月   日"]
["  姓   名",null,"性  别",null,"政治面貌"]
[{"$nulls":7},"大一寸照片"]
["  身   份",null,"出生年月",null,"民  族",null,null,"    "]
["  婚姻状况",null,"文化程度",null,"毕业时间"]
["身份证号",null,null,"残疾人证号"]
["毕业院校",null,null,"所学专业"]
["参加工作时间",null,null,"现在工作单位"]
["户口所在地",null,null,"移动电话"]
["现居住地址",{"$nulls":5},"邮编"]
["简历"]
["（从初中写起，写明自己获奖、职业资格和工作经历等情况）"]
[]
[]
[]
["户籍所在镇（街道）意见"]
[]
[null,"          "]
[null,"                                  "]
[null,"                                    签名（盖章）:                                                年     月     日"]
["残联审查意见"]
[]
[null,"                                    签名（盖章） :                                              年     月     日"]
["诚信声明","1.本人承诺符合此次报名条件，在报名表中所填写的个人信息均准确、真实。"]
[null,"2.本人提供的身份证、户口本、残疾人证、学历或学位证书、关系证明等材料的原件均符合国家规定且真实有效。"]
[null,"3.本人已周知应考人员违纪违规处理规定，考试当天，保证遵守考场规则。"]
[null,"4.如本人有违背上述任何一款情况，愿按相关规定接受处理，并承担由此而造成的一切责任。"]
[null,"本人签名："]
["说明：1.“身份”一栏的填写：①残疾人本人②残疾人家属。"]
["           2.您所预留的电话，要保持畅通，以便我们随时和您联系。"]