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["附件3："]
["“农硕计划”毕业生双向选择意向表"]
[]
[{"$nulls":11},"填表日期：       年     月     日"]
["姓名",{"$nulls":3},"性别",null,null,"出生年月",{"$nulls":5},"入党时间"]
["籍贯",{"$nulls":3},"入学前 户籍地",{"$nulls":3},"家庭住址",{"$nulls":5},"联系电话"]
["毕业院校",{"$nulls":5},"专业",{"$nulls":4},"学历",{"$nulls":3},"学位"]
["毕业时间",{"$nulls":3},"高中毕 业学校",{"$nulls":8},"高考录 取批次"]
["身份证号码"]
["教师资格 证书号码"]
["直接确定聘用理由",{"$nulls":5},"□是否已与温岭市教育局签订合同并经招聘考试入围"]
["何年何月  获何荣誉"]
["何年何月  受何处分"]
["本人     选择意向"]
[]
[null,"签名：",{"$nulls":10},"年",null,"月",null,"日"]
["接收学校  意见"]
[]
[null,"学校（盖章）：",{"$nulls":5},"校长签名：",{"$nulls":6},"年",null,"月",null,"日"]
["教育局   审核意见"]
[]
[]
[]
[]
[null,"审核人（签名）：",{"$nulls":12},"年",null,"月",null,"日"]
["备注"]
[]
[]
[]
["  此表一式三份，接收学校一份，市教育局一份，本人一份。              温岭市教育局人事科制"]

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