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["梁河县教师选聘申请表"]
["姓   名",{"$nulls":3},"性别",null,"民族",null,"籍    贯",null,"照片"]
["出生年月",{"$nulls":3},"政治面貌",{"$nulls":3},"工作年月"]
["文化程度",null,"全日制教育学历学位",null,null,"毕业院校\n及 专 业"]
[null,null,"在职教育学历学位",null,null,"毕业院校\n及 专 业"]
["现工作单位",{"$nulls":4},"现任教学科",{"$nulls":3},"报名号"]
["拟选聘单位",{"$nulls":4},"拟报考学科",{"$nulls":3},"联系电话"]
["近三年考核结果",null,"2021年合格；2022年合格；2023年合格。",{"$nulls":3},"教师资格证类别\n及专业"]
["本人承诺",null,"    我已仔细阅读《梁河县2024年城区小学选聘教师通告》，理解其内容。我郑重承诺：本人所提供的信息资料、经历、证明证件等真实、准确、有效，对因提供有关信息材料、证明证件不实和不符合要求，或违反有关纪律规定所造成的后果，本人愿意承担相应责任，自愿取消测试及选聘资格。\n                                                    \n                                                                                                                                                 承诺人：\n                                                                                                                                        年            月             日"]
["主要学习、工作经历                                 "]
["学校意见"]
[null,null,"              学校负责人签字（公章）："]
[null,null,"                                                                            年             月               日"]
["县教育体育局意见"]
[null,null,"                                                                                县教育体育局负责人签字（公章）："]
[null,null,"                                                                          年            月              日"]
["注：此表一式二份。"]