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["南京市江宁医院2023年住院医师规范化培训单位委托培养学员报名信息采集表"]
["   委托培养单位名称：                              单位联系人：                                  联系电话：\n   （加盖单位公章）"]
["序号","培训\n专业","姓名","性别","身份证号码","最高\n学历","最高\n学位","学位\n类型","毕业学校","毕业专业","是否取得医师资格证书","执业\n类别","手机号码","聘用单位等级","从事岗位","备注"]
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["                                                                                     填表时间：   年   月   日"]
["注：该表格由委托培养单位填写，学员报名时上交电子版；材料审查时打印后加盖单位公章上交。以上信息填写务必真实、准确。"]

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