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["                          工作居住证个人办理情况表         "]
[]
["唯一号：",null,"姓名：",null,"公司：",{"$nulls":4},"   所属区县："]
["类别：  "]
["基本材料","已婚",null,"未婚","离异"]
[]
[]
["住房材料","   自有房",null,"租房",null,"借住"]
["  "]
[]
[]
[]
["学籍材料","  专科",null,"  本科",null,"   硕士",null,"博士",null,"  中级职称","   高级职称"]
[]
[]
["随迁材料","  配偶",null,"  子女"]
["  "]
[]
[]
["必备材料"]
[]
["备注："]
["以上材料，若准确无误，请您签字。"]
["提交日期：       年   月   日      提交人签字：            联系电话：                "]
["收件日期：       年   月   日      收件人签字："]
["取件日期：       年   月   日      取件人签字：        "]
["补材料\n情况","次数：1次                提交日期：      年     月     日"]
[null,"材料名称："]
[null,"取件日期：       年    月    日                    取件人签字："]
[null,"备注："]
[null,"次数：2次                提交日期：      年     月     日"]
[null,"材料名称："]
[null,"取件日期：       年    月    日                    取件人签字："]
[null,"备注："]
["报送\n情况","报送次数",null,"报送日期  ",null,null,"初审结果"]
[null,1,"    年     月     日    ",{"$nulls":3},"  通过：       不通过："]
[null,2,"    年     月     日    ",{"$nulls":3},"  通过：       不通过："]
["领证    情况","领 证 时 间：        年     月     日                 取证人签字："]