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["2025年襄阳市房地产经纪人培训报名表              （新学习）"]
["     ",{"$nulls":4},"    学 号：        "]
[]
["姓   名（必填）",null,"性  别（必填）",null,"出生年月（必填）",null,"贴照片处"]
[]
["岗位职务",null,"文  化  程  度",null,"所  学    专  业"]
[]
["身份证号(必填）",{"$nulls":3},"邮  编"]
["是否开票","是 ¨        否 o",null,null,"开票类别","专票 o     普票 o"]
["公司全称（必填）",{"$nulls":5},"工整填写   公章为准"]
["纳税人识别号","                                                  （开票必填）"]
["注册地址","                                                  （专票必填）"]
["开户行及账号","                                                  （专票必填）"]
["单位注册电话","                 （专票必填）",null,null," 手 机                   （必填）"]
["邮箱\n（必填）"]
[]
[]
[]
[]
[]
["参加培训地点"]
["参加培训时间"]
["本人申明（必填）","    本人承诺自愿参加襄阳市房地产经纪人培训，期间所产生的一切费用，若因本人原因造成未按时参加培训的，协会概不负责，并对以上资料填报真实性负责。"]
[null,"学员本人签字               年   月   日"]
["电话：0710-3235063"]