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[]
["龙文区银发教学报名申请表"]
[]
["姓名",null,"性别",null,"出生年月",null,"民族",null,"相片"]
["毕业    学校",{"$nulls":3},"学历",null,"专业"]
["在何学校退休",{"$nulls":4},"退休前职称及聘任时间"]
["退休   时间",null,null,"退休批复、退休证"]
["教师资格类别与任教学段、学科",{"$nulls":4},"身份   证号"]
["近6个月体检情况"]
["现居住地址",{"$nulls":4},"手机电话"]
["工作  简历"]
["报名人 承诺签字","本人系公办学校退休教师，享受公办学校退休待遇，身体健康，自愿报名参加退休返聘教育教学工作，本人承诺：返聘期间仅向返聘学校领取劳务费，因工作原因、因病、因伤等发生的医疗费用，按本人原有医疗关系办理，返聘学校不予承担。"]
[null,"承诺人签字：                         年     月     日"]
["返聘学校审核意见"]
[]
["  报名申请表由申请人填写，一式二份，一份由学校保存，一份交教育局备案。                    "]