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["四川大学华西医院"]
["护士规范化培训学员报名表"]
["填表日期",null,null,"       年    月     日",{"$nulls":7},"报名序号"]
["姓名",null,null,"性别",null,null,"出生日期","     年     月     日","    年   月   日",null,null,"民 族",null,null,"1寸彩色近照"]
["护理专业基础学历（不包含套读学历）",{"$nulls":5},"毕业学校"]
["最高学历",{"$nulls":3},"学  位",{"$nulls":3}," 毕业学校"]
["政治面貌",{"$nulls":3},"既往病史",{"$nulls":5},"身  高"]
["身份证号",{"$nulls":6},"护士执照","护士执照"," 有  无  只通过理论考试"]
["特长",{"$nulls":7},"班级、学校任职"]
["本人联系方式",null,"电话",{"$nulls":5},"籍贯",null,null,"外语等级"]
[null,null,"手机",{"$nulls":5},"班级成绩排名"]
["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",{"$nulls":8},"邮    编"]
["学","起 止 时 间",{"$nulls":4},"所  在  学  校",{"$nulls":4},"专  业",null,null,"学  历"]
["习"]
["经"]
["历"]
["实习","起 止 时 间",{"$nulls":4},"所  在  单  位",{"$nulls":4},"工  作  岗  位"]
[]
[]
["获奖情况"]
["参加护士规范化培训的主要目的"]
["个人声明：本人保证所提交信息的真实性、合法性，承担因填写不实而产生的一切后果。"]
["                     签名（请勿打印，须亲笔书写）："]
["注：请申请人按要求填写本表后，连同身份证、学历、学位、加盖学校公章(需鲜章）的成绩单和就业推荐表的复印件交四川大学华西医院护理部；并在面试时带上以上证件的原件。护理部有权拒收欠详实的报名资料。"]
[]
[{"$nulls":10},"华西医院毕业后教育部、护理部制表（2012）"]
[{"$nulls":10},"此表复印有效"]

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