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    全国干部人事档案专项审核工作专用

干部任免审批表                    
姓 名                    
                    
性 别                    
                    
出生年月( 岁)                    
                    
照 片                            
民 族                    
                    
籍 贯                    
                    
出 生 地                    
                            
入 党        
时 间                    
                    
参加工        
作时间        
（参加公务员时间）                    
                    
健康状况                    
                            
专业技        
术职务                    
                    
熟悉专业有何专长                    
                            
学 历        
学 位                    
全日制        
教 育                    
                    
毕业院校系及专业                    
                            
在 职        
教 育                    
                    
毕业院校系及专业                    
                            
现 任 职 务                    
                            
拟 任 职 务                    
                            
拟 免 职 务                    
                            
简        
        
        
        
        
        
        
历                    
            
                    
奖        
惩        
情        
况                    
                            
年核        
度结        
考果                    
                            
任        
免        
理        
由                    
                            
家        
庭        
主        
要        
成        
员        
及        
重        
要        
社        
会        
关        
系                    
称 谓                    
姓 名                    
年龄                    
政 治        
面 貌                    
工 作 单 位 及 职 务                            
                    
                    
                    
                    
                            
                    
                    
                    
                    
                            
                    
                    
                    
                    
                            
                    
                    
                    
                    
                            
                    
                    
                    
                    
                            
                    
                    
                    
                    
                            
                    
                    
                    
                    
                            
呈        
报        
单        
位                    
        
 年 月 日                            
审意        
批        
机        
关见                    
        
此表信息已经认定        
        
        
 (盖章)        
 年 月 日        
                    
行任政免机意关见                    
        
        
        
        
        
        
         
 (盖章)        
 年 月 日                                                                    

填表人：