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["附件2："]
["自治区银龄讲学计划申请表"]
["姓 名",null,null,"性别",null,"民 族",{"$nulls":3},"照片\n（一寸彩色）"]
["出生年月",null,null,"学历",null,"专 业"]
["身份证号码",{"$nulls":4},"专 长"]
["退休前所在学校、任教学段及学科",{"$nulls":4},"教师资格证书编号"]
["政治面貌",{"$nulls":3},"职称",{"$nulls":3},"曾任职务"]
["人才称号"]
["手机号码",{"$nulls":4},"电子信箱"]
["通讯地址",{"$nulls":6},"邮政编码"]
["任教\n（工作）\n经历"]
[]
[]
["所获主要荣誉\n与奖励"]
[]
["退休前学校（单位）或主管部门",null,"\t               公章：          负责人（签名）：           年    月    日"]