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[null,"湖 北 省 作 家 协 会 入 会 申 请 表"]
[{"$nulls":10},"编号："]
["姓名",{"$nulls":3},"笔名/网名",{"$nulls":6},"（照片）"]
["性别",null,null,"民族",null,null,"文化程度"]
["出生地",{"$nulls":3},"身份证号",{"$nulls":4},"党派"]
["主要从事何\n种文学样式"]
["工作单位及职务",{"$nulls":10},"职称"]
["通讯地址",{"$nulls":10},"邮编"]
["单位电话",{"$nulls":5},"住宅电话",{"$nulls":3},"移动电话"]
["电子邮箱",{"$nulls":7},"QQ号码"]
["主\n要\n经\n历",null,"起止年月",null,"在何处工作及职务",{"$nulls":3},"起止年月",null,"在何处工作及职务"]
[]
[]
[]
[]
["出\n版\n或\n发\n表\n的\n主\n要\n作\n品\n情\n况",null,"自　　年开始发表作品，创作共计　　万字，独立创作并结集出版文学专著　本。"]
[null,null,"出版\n时间","体裁","作品名称",{"$nulls":3},"字数","印数","出版社或刊物",null,"ISBN"]
[]
[]
[]
[]
[]
[]
["（"]
["可\n加\n附\n页"]
[]
[]
[]
["）"]

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["从\n事\n文\n学\n工\n作\n综\n述\n或\n获\n奖\n情\n况"]
[]
[]
[]
[]
[]
[]
["两\n名\n介\n绍\n人\n意\n见",null,"\n\n\n\n\n\n　　　　　　　　　　　　　　　　签名："]
[]
[]
["本人\n所在\n单位\n意见",null,"\n\n　　　　　　　　　　　　　　　（公章）\n\n　　　　　　　　　　　　　　　年　　月　　日"]
[]
[]
[]
["市、州作协或大企文协意见",null,"\n\n　　　　　　　　　　　　　　　（公章）\n\n　　　　　　　　　　　　　　　年　　月　　日"]
[]
[]
["申请人\n签名",null,"\n\n     　　　　　　　　　      年　　月　　日"]
[]
["批准\n时间",null,"　　年　　月　　日经湖北省作家协会第　 届主席团第　 次会议讨论批准。"]
[]
["备注"]

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