编辑: JZS133 2018-10-17
"人民陪审员人选推荐表",,

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"被推荐人姓名",,

"性别",,

"出生年月(岁)",,

"照片" "民族",,

"籍贯",,

"健康状况",,

"政治面貌",,

"婚姻状况",,

"人员类别(公务员/工人/职员/其他)",,

"专业技术职务",,

,"熟悉专业有何特长",,

, "学历学位","全日制教育",,

,"毕业院校专业",,

,"在职教育",,

,"毕业院校专业",,

"现工作单位及职务、职级",,

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"家庭住址、联系电话",,

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"推荐单位名称",,

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"推荐单位地址、联系电话",,

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"被推荐人履历",,

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"家庭成员及社会关系","称谓","姓名","出生年月","政治面貌","工作单位及职务", ,,

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"政治历史及奖惩情况" ,,

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,"(盖章)", ,,

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,"年月日", "推荐单位意见",,

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,"(盖章)", ,,

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,"年月日", ,,

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,"(盖章)", ,,

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,"年月日", "被推荐人意见",,

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,"签名:", ,,

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,"年月日", "备注",,

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