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["南京鼓楼医院集团宿迁市人民医院住院医师规范化培训单位委托培养学员报名情况汇总表"]
["委托单位名称：（加盖单位公章）                                               单位联系人：                               联系电话：                                  填表时间：   年   月   日"]
["序号","姓名","性别","身份证号","出生年月","起始学历","毕业证书编号","起始学位","学位证书编号","毕业学校","毕业专业","最高学历","毕业证书编号","最高学位","学位证书编号","学位类型","毕业学校","毕业专业","是否取得医师资格证书","医师资格证书编号","是否取得医师执业证书","医师执业证书编号","执业范围","报考培训专业","手机","电子邮箱","聘用单位名称","聘用单位等级","从事岗位","备注"]
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["注：该表格由委托单位统一填写并报送电子版和纸质版各1份，以上学员信息务必真实、准确。"]

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