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["开平市法律援助律师资源库申请表"]
["志愿者\n基本情况","姓  名",null,"性  别",null,null,"民  族",null,"（二寸大小照片）"]
[null,"出生年月",null,"籍  贯",null,null,"居住地"]
[null,"身份证号",{"$nulls":4},"学历"]
[null,"毕业院校",{"$nulls":4},"专业"]
[null,"联系电话",{"$nulls":4},"政治面貌"]
[null,"首次执业时间\n及执业年限",{"$nulls":4},"身体状况"]
[null,"执业证编号",{"$nulls":4},"电子邮箱"]
[null,"擅长业务领域（可多选并另注明）",null,"刑事辩护（）行政代理（）民事代理（）未成年人（）婚姻家庭（）劳动争议（）人身损害（）合同纠纷（）债权债务（）医疗纠纷（）交通事故（）其他领域（）                                          "]
[null,"执业机构及职务"]
[null,"执业机构地址及电话"]
[null,"受过何种奖励或处分"]
["工作经历"]
["    我志愿加入开平市法律援助律师资源库，知悉申请入库要求，并承诺认真履行法律援助服务义务，严守职业道德和执业纪律，遵守国家法律、法规及法律援助相关规章制度，廉洁、规范开展法律援助工作。如因执业过错造成受援人损失，主动配合有关处理工作，依法承担法律责任。\n                                                                                 \n                                         申请人（签名）：            年   月   日"]
["所属执业机构意见",null,"\n                   \n\n                        主要负责人签名：      \n                                           \n                        机构：（公章）                 年   月   日"]
["市法律援助处审核情况"]
["市司法局意见"]
[" "]
[" "]

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