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["补发专业技术（执、职业）资格证书登记表"]
["姓名",null,null,"性别",{"$nulls":3},"出生年月",{"$nulls":5},"一寸相片"]
["工作单位",{"$nulls":5},"身份证号"]
["学历",{"$nulls":3},"参加考试时间"]
["考试取得的资格名称",{"$nulls":9},"联系电话"]
["档 案 号",{"$nulls":5},"准考证号"]
["证书管理号",{"$nulls":6},"原证书编号"]
["证书丢失时间",{"$nulls":6},"补发证书号"]
["要求补发的理由"]
["单位证明"]
["  审查意见\n市地考试管理机构    "]
["审批意见\n省人力资源和社会保障厅   "]
["备注"]
["注：本表待证书补发后存入本人人事档案。"]
[{"$nulls":10},"山东省人力资源和社会保障厅制"]