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["专职人民调解员报名申请表"]
["姓名",null,"性别",null,"出生年月",null,"近期一寸彩照"]
["籍贯",null,"民族",null,"政治面貌"]
["学历及专业",{"$nulls":3},"健康状况"]
["居住地",{"$nulls":3},"手机号码"]
["应聘调委会"]
["个人简历"]
["家庭成员\n及主要社会关系"]
["本人承诺","    本人承诺以上所填写信息属实，如有虚假愿意承担由此带来的一切法律后果。\n\n                                  签名：\n                                   年    月     日"]
["说明：本表一式二份"]

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["家庭成员及主要"]

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