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["附件："]
["河北省护士执业注册培训考核-申请表"]
[]
["姓名",null,null,"性别",null,"出生年月",{"$nulls":3},"贴照片处"]
[]
["毕业学校",{"$nulls":4},"毕业时间"]
["原执业证书号",{"$nulls":4},"身份证号"]
["执业机构",{"$nulls":4},"联系电话"]
["培训考核原因","逾期申请执业注册（  ）;中断护理执业活动超过3年申请重新注册(  )"]
["拟培训机构","年  月  日   至          年  月  日"]
["申请培训机构"]
["申请人基本\n情况（包括\n专业学习、\n工作经历和\n中断执业活\n动情况）及\n拟申请培训\n的主要内容","  \n\n\n\n\n\n\n\n\n\n                                              申请人签字："]
["执业机构意见","\n\n\n                               （公章）\n               \n\n                                                   年  月  日\n\n\n\n"]
["培训机构意见","\n\n\n                               （公章）\n               \n\n                                                   年  月  日\n\n\n\n"]
["备注：1、申请护士执业注册培训考核使用本表，已使用原《河北省护士执业注册培训考核\n申请表》申请培训考核的，可不必重新填写本表；\n      2、《护士条例》实施前毕业，注册时不能提供实习手册，需要进行临床实践能力认\n认定的，可参照使用《河北省护士执业注册培训考核-考核表》进行认定。\n"]

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