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["担任人民陪审员推荐表"]
[]
["被推荐人   姓名",null,"性   别",null,"出生年月      （     岁）",null,"相片"]
["民   族",null,"籍   贯",null,"出  生  地"]
["政   治      面   貌",null,"婚   姻      状   况",null,"健康状况"]
["专业技  术职务",null,null,"熟悉专业   有何特长"]
["学    历        学    位","全日制        教    育",null,null,"毕业院校    系及专业"]
[]
[null,"在    职      教    育",null,null,"毕业院校    系及专业"]
[]
["现工作单位\n 及职务"]
[]
["通讯地址、邮编          及联系电话"]
[]
["推荐单位名称"]
["推荐单位地址、邮编及联系电话"]
[]
[]
[]
[]
["简"]
[]
[]
[]
[]
[]
["历"]

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[]
["奖  情"]
[]
["惩 况"]
[]
[null,"称  谓","姓   名","出生年月","政治面貌","工作单位及职务"]
["   主"]
["要  及"]
["家  社"]
["庭  会"]
["成  关"]
["员  系"]
[]
[]
["   被"]
["推  意"]
["荐  见",{"$nulls":4},"签名（盖章）"]
["   人",{"$nulls":4},"年        月       日"]
[]
[]
["   推   "]
["荐  意"]
["单  见"]
["   位"]
[{"$nulls":5},"（盖章）"]
[{"$nulls":5},"年      月       日"]
["备注"]