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["东北师范大学教育部出国留学人员培训部"]
["  2015年秋季国家公派英语培训报名表"]
["序号","姓  名","性 别","手机号","E-mail","所在单位","身份证号","培训安排"]
["1"]
["2"]
["3"]
["4"]
["5"]
["6"]
["注：此表为国家公派留学外语培训报名表，请确保各项信息准确。"]
["    请在规定时间前将此表发送学校指定邮箱，视为报名成功,请按报到时间到指定地点报到。"]
["    培训安排请具体填写：全日制培训班、周末培训班、两阶段培训班"]
["中层单位负责人签字：",{"$nulls":3},"填表人：","填报日期：","人力资源与社会保障处师资培养科制"]