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["个人就业或终止就业备案登记表"]
["填表日期:",{"$nulls":5},"手册编号",null,null,"□□□□□□□□□□□□□□□□□□"]
["姓  名",{"$nulls":4},"性别",{"$nulls":3},"出生年月",{"$nulls":5},"民 族",{"$nulls":3},"相  片"]
["籍  贯",{"$nulls":4},"婚姻   状况",{"$nulls":3},"户籍性质",null,null,"□非农业",{"$nulls":3},"□农业"]
["身份证号码"]
["社会保障号"]
["计生证号码"]
["学  历",{"$nulls":4},"专业或职业    工  种",{"$nulls":9},"技术（职称）  等  级"]
["户籍地址"]
["现 住 址"]
["联系电话",{"$nulls":10},"电子邮箱"]
["原(现)工作单位(其他就业形式，全称)",{"$nulls":10},"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 的原因","□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                □其他原因"]
["就业起止  时 间",{"$nulls":11},"月 收 入"]
["终止就业（失业） 原 因"]
["个人身份（由备案机构填写）","□新成长劳动力",{"$nulls":8},"□退役军人",{"$nulls":4},"□转产转业渔民"]
[null,"□就业转失业人员",{"$nulls":8},"□随军家属",{"$nulls":4},"□水库移民"]
[null,"□应届高校毕业生",{"$nulls":8},"□被征地农民",{"$nulls":4},"□三峡库区移民"]
[null,"□应届中职（专）、技校毕业生",{"$nulls":8},"□农转居居民",{"$nulls":4},"□其他"]
["受理意见","："]
[{"$nulls":11},"备案机构（盖章）"]
[null,null,"经办人："]
[{"$nulls":14},"年       月      日"]