XLS《考试和认定》

"附件1广东省医疗美容医师培训购书及报名回执表" "表1购书信息" "如需另外购买教材请填写" "购书方式(打√)","现场购书邮寄购书" "购书单位/发票抬头" "邮购收件地址" "邮购收件部门" "联系人",,

"手机" "书名","单价(元/册)","数量","金额(元) "《美容口腔分册》","40",,

"0" "《美容中医分册》","46",,

"0" "《美容技术分册》","23",,

"0" "《美容外科分册》","40",,

"0" "《美容皮肤分册》","35",,

"0" "合计",,

,"0" "表2 广东省医疗美容从业人员培训会报名回执表" "说明:

1、申报类型包括:激光技术专场、注射美容技术专场,可同时申报2项技术.

2、申请人的执业范围应符合省卫计委(粤卫〔2014〕15号)文件中"医疗美容主诊医师执业资格报考的条件";

职称专业指职称证书上的专业.

3、""*""号为必填项(必填内容为颁发培训考试合格证书的必备条件,请完整填写,否则,由此导致证书不能顺利颁发责任自负),本表可续页.

4、此回执表与学员的职称证和执业证书复印件(初级职称学员提交执业证书)加盖现任职单位人事或医务部门公章扫描于2016年8月8日前发至邮箱gdma1917@163.com. "*医政处/医务处(科)联系人:",,

,"*手机:",,

,"*电子

邮箱: "序号","*姓名","*年龄","*申报类别","*执业范围","*原专业","*职称专业","*职称","职务","*最高学历","*美容年限","所在医疗机构",,

,,

"*通讯地址","*手机","电子邮箱","是否住宿(是:包房或拼房)","住宿日期","备注",,

, 名称","等级","性质","科室"等级","性质", 未评级","公立综合医院", 一级","公立专科医院", 二级","民营美容医院", 二甲","民营门诊部", 三级","民营诊所", 三乙","民营专科医院", 三甲","民营综合医院", ,,

,