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["事业单位工作人员专业技术职务聘任专项指标申报表"]
["姓名",null,"性别",null,"出生年月\n（以档案专审为准）",null,"身份\n证号"]
["工作单位及从事专业",{"$nulls":4},"现职称及获得时间"]
["近年专业技术职务聘任简历","聘任职务","聘任岗位",null,"聘任期限",null,"聘任单位"]
[]
[]
[]
["近五年影响专项指标申报的情形\n","年度考核情况","考核年度",null,null,"考核结果"]
[]
[]
[]
[]
[]
[]
[null,"立案、处分情况\n（需注明处分种类、处分期限及处分文号）"]
[]
[null,"其他情形"]
["申报理由","申报何种指标"]
[null,"依据文件\n及其款项"]
[null,"事由说明："]
[]
[]
[]
[{"$nulls":6},"本人签名："]
[]
[{"$nulls":7},"年   月   日"]
["单位意见"]
[]
[]
[]
[]
[]
[null,"经办人签名：",null,null,"电话：",null,null,"（单位盖章）"]
[{"$nulls":7},"年   月   日"]
["主管部门\n审核意见",{"$nulls":3},"人事（职改）\n部门审批意见"]
[]
[]
[]
[]
[{"$nulls":3},"（盖章）"]
[null,null,"   年   月   日",{"$nulls":4}," 年   月   日"]
["注： 1、本表一式三份，市职改办、聘任单位、个人各一份。           "]
["    2、随表应附有关证明材料复印件（原件备核）。"]