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["附表五"]
["台江县2020年特岗教师招聘报考人员体温测量登记表"]
["姓名",null,null,"性别"]
["身份证号",null,null,"联系电话"]
["家庭住址"]
["现居住地址"]
["报考人员资格审查前14日有否离黔（出省)",null,"报考人员资格审查前14日有否中、高风险地区接触史（如有，请注明具体时间、地点或车次/航班）",null,null,"报考人员资格 审查前14日有否发热、咳嗽、呼吸不畅等症状"]
["体温记录(资格审查前14天）"]
[]
["日期",null,"体温","日期",null,"体温"]
["月","日",null,"月","日"]
["月","日",null,"月","日"]
["月","日",null,"月","日"]
["月","日",null,"月","日"]
["月","日",null,"月","日"]
["月","日",null,"月","日"]
["月","日",null,"月","日"]
["其他："]
["    1.报考人员本人承诺，根据疫情防控要求，每日测量体温并如实记录，并保证以上信息真实、准确、有效,并承诺在签约环节前不能前往中、高风险地区，否则造成不良后果的将自行承担责任。"]
["    2.此表在现场资格审查时上交。"]
[{"$nulls":3},"承诺人（签字手印）："]
[{"$nulls":4},"2020年  月  日"]

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