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["南京医科大学第二附属医院住院医师规范化培训单位委托培养学员报名情况汇总表"]
["委托单位名称：（加盖单位主管部门公章）                               单位联系人：                  联系电话：              填表时间：      年      月      日"]
["*序号","*姓名","*性别","*出生日期（yyyy-mm-dd）","*身份证件类型","*身份证件号码","*国家或地区","*民族","*手机号","*邮箱","*往届/应届","*培训专业","*是否通过全国医师资格考试","执业医师资格证号","*招收年度","*实际培训开始时间（yyyy-mm）","*是否为对口支援计划住院医师","#对口支援计划住院医师送出单位（请填全称）","*培训年限核定","*学员类型","*毕业学校（本科）","*毕业年份（本科）","*毕业专业（本科）","*是否全科订单定向学员","*学位（本科）","*是否硕士研究生","#毕业院校（硕士）","#毕业年份（硕士）","#毕业专业（硕士）","#学位（硕士）","#学位类型（硕士）","*是否博士研究生","#毕业院校（博士）","#毕业年份（博士）","#毕业专业（博士）","#学位（博士）","#学位类型（博士）","#工作单位（与单位公章对应的官方全称）","#医院级别","#医院等次","#医疗卫生机构类别","#医疗卫生机构隶属关系","*是否在协同单位培训","#协同单位（与单位公章对应的官方全称）","#协同医院级别","#协同医院等次","#医疗卫生机构类别"]
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["注：该表格由委托单位统一填写并报送电子版和纸质版各1份，以上学员信息务必真实、准确。\n说明：“*”项为必填项。每个“*”项后面对应的“#”项，如“*”项为“是”，则后面对应的“#”项必填；如“*”项为“否”，则后面对应的“#”项不填。"]