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["贺州市皮肤病防治院（贺州市第五人民医院）　　　　招聘登记表"]
["应聘岗位:  ",{"$nulls":4},"填表日期：  年  月  日"]
["姓    名",null,"性    别",null,"出生年月"]
["民    族",null,"政治面貌",null,"入党团时间"]
["籍    贯",null,"身高",null,"身体状况"]
["手机号码",{"$nulls":3},"身份证号"]
["现有职称",{"$nulls":4},"取得时间","  年     月"]
["执业证书名称、执业范围、执业证编号及取得时间",null,"证书名称","执业范围",null,"执业证编号",null,"取得时间"]
[]
["全日制\n学历",null,"毕业学校",{"$nulls":3},"所学专业"]
["在职学历\n（非全日制）",null,"毕业学校",{"$nulls":3},"所学专业"]
[" 本人工作、进修经历"]
["工作起止时间",null,"工  作  单  位",{"$nulls":3},"工作内容及担任职务"]
[]
[]
[]
[]
["进修起止时间",null,"进修医院及内容"]
[]
[]
["       我保证以上填写的个人资料均属事实,愿意接受背景调查。若有虚假，同意按医院人事管理相关制度处理，亦愿承担由此造成的包括无薪解聘在内的一切后果。"]
[{"$nulls":6},"应聘者签名："]

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