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["附件3："]
["平塘县专职人民调解员(含组织推荐）报名登记表"]
["姓 名",{"$nulls":3},"性 别",{"$nulls":3},"出生年月",{"$nulls":3},"  贴照片处"]
["民 族",{"$nulls":3},"政治面貌 ",{"$nulls":3},"入党时间 "]
["户口所在地",{"$nulls":3},"出生地",{"$nulls":3},"参加工作  时间"]
["学历 ",{"$nulls":3},"学位  "]
["毕业院校及专业"]
["身份证号码",{"$nulls":10},"联系电话"]
["报考岗位",{"$nulls":10},"是否接受调剂"]
["通讯地址"]
["是否政府机关、团体、事业单位工作人员   \n是　□             否　□",{"$nulls":6},"是否村“两委”班子成员                 \n是　□             否　□"]
["是否曾任人民调解员\n是　□             否　□",{"$nulls":6},"是否从事法律相关工作\n是　□                  否　□"]
["工作经历",null,null,"起止时间",{"$nulls":3},"工作单位部门及职务"]
[]
[]
[]
[]
["家庭成员\n及主要\n社会关系",null,null,"称谓",null,"姓名",null,"出生年月","政治面貌",null,null,"工作单位及职务"]
[]
[]
[]
[]
[{"$nulls":3},"注：工作单位应详细如实填写，在家务农/无职业的请填写详细至村（居）。家庭成员至少应包含父母、兄弟姐妹情况，已婚的还应包含配偶、配偶父母、子女情况。已故的填写生前单位及职务，并备注说明已故。"]