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["附件1：雅安市人民医院护士规范化培训报名申请表"]
["姓名",null,"性别",null,"出生日期",null," 照片（上传电子版）"]
["政治面貌",null,"籍贯",null,"民族"]
["学历",null,"毕业院校",null,"毕业时间"]
["有无护士执业证",null,"取得时间",null,"既往病史"]
["婚姻状况",null,"身高",null,"家庭住址"]
["特长",{"$nulls":3},"身份证号"]
["本人联系方式","联系电话",null,null,"电子邮箱"]
["家庭联系方式","联系人",null,"与本人关系",null,"联系电话"]
["学习及实习/工作经历（请从高中填起）","起止时间",null,null,"所在学校或单位",null,"学历"]
[]
[]
[]
[]
[]
[]
["何时何地因何种原因受到过奖励或惩罚"]
[]
["参加护理规培培训目的"]
[]
["请核实报名所需资料并在方框内打“√”"," □本报名表",null," □身份证复印件 ",null," □毕业证复印件"]
[null," □实习证明复印件",null," □执业证复印件",null," □在校期间成绩单复印件"]
[null," □执业考试成绩复印件",null," □获奖证书复印件",null,"其它："]
["个人申明：本人保证所提交信息的真实性、合法性，承担因填写不实而产生的一切后果。                                                          "]
["特别说明：请于2019年6月17日起登陆雅安市人民医院网站查询考试考核的相关具体通知。"]
[{"$nulls":4},"本人亲笔签名："]
["备注：申请人须按要求如实填写本表各项内容，并按招生要求备齐所有报名资料后，面交至雅安市雨城区城后路358号护理部。我部门有权拒收资料不齐或不真实的报名资料。"]

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