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["附件3"]
["贞丰县2016年县城中小学幼儿园教师缺编                         遴选、考调报  名  表"]
["姓  名",null,"性  别",null,"出生年月",null,null,"贴照片处"]
["民   族",null,"政治面貌",null,"最高学历"]
["所学专业",null,"毕业学校",null,"毕业时间"]
["参加工作      时间",null,"现工作单位",null,null,"任教学科"]
["专业技术     职务",null,"教师资格   类别",null,"报考学段及专业"]
["近三年\n考核结果","2013年","2014年","2015年","联系电话"]
[]
["个人工作  简历"]
["获奖情况"]
["诚信承诺","    1、上述报名信息真实、准确，提供的学历证书等相关证件均真实有效；\n    2、严格遵守本次考试的各项规定，如有违反，自愿接受取消考试资格。\n\n                                  考生签字："]
["县遴选、考调领导小组办公室审核意见","  年  月  日     "]