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["附表1"]
["土地估价师执业登记申请表"]
["姓    名",{"$nulls":3},"性别",{"$nulls":4},"身份证号",{"$nulls":5},"出生日期"]
["民    族",{"$nulls":3},"籍贯",{"$nulls":4},"政治面貌",{"$nulls":5},"职    务"]
["职称级别",null,"□中级      □高级      □正高级",{"$nulls":8},"毕业学校"]
["专    业",{"$nulls":3},"学历",{"$nulls":4},"学  位",null,"□学士      □硕士      □博士"]
["联系电话",{"$nulls":4},"移动电话",{"$nulls":5},"电子邮件"]
["通讯地址",{"$nulls":12},"邮政编码"]
["个人社会保险机构",{"$nulls":12},"个人编号"]
["人事档案存放机构",{"$nulls":12},"个人编号"]
["现从业机构名称"]
["现机构起始执业时间",{"$nulls":9},"起始从业时间"]
["资格证书号",{"$nulls":9},"执业登记号"]
["继续教育证书号",{"$nulls":9},"继续教育累计学时"]
["通过实践考核的时间"]
["其他经济鉴证资格"]
["其他经济鉴证资格名称",{"$nulls":6},"资格证书号",{"$nulls":6},"资格取得时间"]
[]
[]
["工作简历"]
[]
[]
[]
["从业机构意见","负责人签字 ",{"$nulls":6},"省、自治区、直辖市土地估价行业协会审核意见"]
[]
[null,"盖章",{"$nulls":10},"盖章"]
[null,"年  月  日",{"$nulls":10},"年  月  日"]
["本人承诺对所填报内容及提供的证明材料的真实性负责。"]
["　　　　　　　　　　　　　　　　"]
["本人签字       "]
[" 年   月   日"]

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