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["四川大学华西医院"]
["      2012年度技师/药师规范化培训学员报名表"]
["填表日期",null,null,"       年     月      日",{"$nulls":4},"选择培训类别"]
["姓名",null,null,"性别",null,null,"出生日期","     年     月     日","    年   月   日",null,null,"民 族",null,null,"1寸彩色近照"]
["所学专业",{"$nulls":5},"毕业学校"]
["最高学历",{"$nulls":5},"学  位"]
["应届/往届",{"$nulls":5},"往届生档案存放地"]
["在校成绩平均分",{"$nulls":5},"年级排名/总人数"]
["英语等级",{"$nulls":5},"计算机等级"]
["政治面貌",{"$nulls":3},"既往病史",{"$nulls":5},"身  高"]
["婚姻状况",{"$nulls":3},"配偶姓名",{"$nulls":3},"配偶工作单位"]
["身份证号",{"$nulls":6},"护士执照","技术资格"," 有  无  "]
["特长",{"$nulls":7},"担任过何社会职务"]
["家庭主要成员情况",null,"父亲姓名",{"$nulls":3},"工作单位",{"$nulls":5},"联系电话"]
[null,null,"母亲姓名",{"$nulls":3},"工作单位",{"$nulls":5},"联系电话"]
["家庭住址",{"$nulls":7},"邮编"]
["本人联系方式",null,"电话",{"$nulls":5},"Email"]
[null,null,"手机",{"$nulls":5},"传真",{"$nulls":3},"其他"]
["学","起止时间",{"$nulls":6},"所在学校",null,null,"专  业",null,null,"学  历"]
["习"]
["经"]
["历"]
["工","起止时间",{"$nulls":6},"所在单位",null,null,"工  作  岗  位"]
["作"]
["简"]
["历"]
["获奖情况"]
["参加规范化培训的主要目的"]
["个人声明：本人保证所提交信息的真实性、合法性，承担因填写不实而产生的一切后果。"]
["            签名（请勿打印，须亲笔书写）："]
["注：请申请人按要求填写本表后，连同身份证、学历、学位等证书的复印件交四川大学华西医院毕业后教育部；并在面试时带上以上证件的原件。"]
[]
[{"$nulls":9},"四川大学华西医院毕业后教育部制表（2012）"]
[{"$nulls":9},"此表复印有效"]

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