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["表1"]
["就业创业证申请登记表"]
["就业失业登记证编号：□□□□□□□□□□□□□□□□□□",{"$nulls":15},"填表日期："]
[]
["姓名",{"$nulls":4},"性别",{"$nulls":4},"出生年月",{"$nulls":5},"民族",null,null,"相片"]
["籍贯",{"$nulls":4},"婚姻状况",{"$nulls":4},"户籍性质",null,null,"□非农  □农业"]
["身份证号码"," "]
["社会保障号"]
["学历",{"$nulls":4},"专业工种",{"$nulls":9},"技术等级"]
["户籍地址"]
["现住址"]
["联系电话",{"$nulls":9},"电子邮箱"]
["原（现）工作单位"]
["原（现）就业具体地址"]
["工商登记号码",{"$nulls":6},"工商执照有效期",{"$nulls":6},"组织机构代码"]
["申领手册原因","□办理就业登记备案  □办理终止就业登记备案  □申请享受公共就业服务  □补发  □其它原因"]
["就业起止时间",{"$nulls":9},"月收入"]
["终止就业原因"]
["个人身份\n（由备案机构填写）","       □新成长劳动力                   □退役军人       □转产转业渔民\n       □就业转失业人员                 □随军家属       □水库移民\n       □应届高校毕业生                 □被征地农民     □三峡库区移民\n       □应届中职（专）、技校毕业生     □农转居居民     □其它"]
[]
[]
[]
["   受理意见:"]
[]
[]
["                                                                备案机构（盖章）"]
["                                                                经办人："]
["                                                                  年    月    日"]
[]
[]
[" "]

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