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["洛浦县便民警务服务站工作人员报考人员系贫困户认定表"]
["姓名",null,"性别",null,"族别",null,"一寸免冠照片"]
["出生年月",null,"身份证号码"]
["政治面貌",null,"联系电话"]
["家庭住址"]
["贫困户所在村、社区意见","\n\n\n\n\n负责人（签名）：         单位（盖章）：        年   月   日"]
["贫困户所在乡、镇、街办意见","\n\n\n\n\n负责人（签名）：         单位（盖章）：        年   月   日"]
["备注：认定人员需为已建档立卡洛浦籍贫困户"]

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