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["附件"]
["广西中医药大学2020年公开招聘第一批非实名人员控制数工作人员考试疫情防控信息调查登记表"]
["序号","姓名","性别","报名岗位及代码","籍贯","现家庭地址\n（南宁市**区**小区）","联系电话","现所在地是否为疫情重点地区（重点地区划分请看备注）","近两周身体状况（有无发热、咳嗽、乏力、呼吸不畅、腹泻、流鼻涕）","疫情期间是否曾确诊疑似病例或正在隔离、居家观察","疫情期间是否曾去过境外或滞留境外","是否有湖北（武汉）旅居史",null,"接触史情况",{"$nulls":3},"5月9-10日考试能否参加？（能、否或无法确定及原因）","本人承诺以上信息填报内容属实，如有不符后果自行承担","填表日期","备注"]
[{"$nulls":11},"旅居时间/无","旅居时长及地点\n（**火车站/**飞机场……）","有无与从湖北省回广西的人密切接触？","与从湖北省回广西的人密切接触时间","有无与确诊为新型冠状病毒肺炎病例接触？（有、无、不确定）（因到过疫区无法确定是否接触过确诊的人填写不确定并说明）","与确诊病例接触时间"]
["范例","赵二","男","学工处辅导员1","广西南宁","南宁市青秀区民族大道**号**小区",123456788,"否","无","否","否","无","无","有",20200116,"无","无","能","承诺属实","2020.04.29"]
[1]
["备注：疫情重点地区为黑龙江省哈尔滨市道外区、绥芬河市，内蒙古自治区满洲里市，辽宁省大连市西岗区、抚顺市顺城区，山东省胶州市，广东省广州市越秀区、白云区，深圳市宝安区、惠来县，北京朝阳区等地区"]