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[{"$nulls":5},"报名序号：",null,"              "]
["遵义县公开招聘镇（乡）敬老院服务人员报名表"]
[]
["姓　名",null,"性　别",null,"出生年月",null,null,"照片"]
["民　族",null,"身份证号"]
["政治面貌",null,"学　历",null,"毕业时间"]
["毕业院校及专业"]
["户籍所在地",{"$nulls":4},"是否满足其他报名条件"]
["联系电话",{"$nulls":3},"报考岗位类别","工勤人员"]
["报考单位及岗位代码"]
["招考单位审查意见","审查人签字：                                2016年　月　日"]
["报名信息确认栏","以上填写信息均为报考人真实情况，若有虚假、遗漏、错误，责任自负。"]
[null,"考生签名：",null,"代报人员签名："]