安徽医科大学附属口腔医院进修人员申请表

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1、安徽医科大学附属口腔医院进修人员申请表姓名：进修科目：进修时限：选送单位：详细地址：邮编：填表日期年月日theprovisionsofelectricpowerconstructionengineeringqualitysupervisionandquality...2.4.1.1theunitworksacceptancerateof100%,thequalityevaluationofatotalscoreof95orabove;2.4.1.2regulatedWeldingNDTinspection100%,regulatedweldingapassingrateof>99

2、%,andweldbeadappearance;2.4.1.3boilerhydraulic姓名性别出生年月籍贯省市（县）参加工作年月专业技术职称是否党、团员（或民主党派）何时何校何专业毕业学历本人对专业理论技术和外语掌握程度进修内容和要求主要工作经历起止年月工作单位职务政治工作表现及业务能力（由选送单位填写）theprovisionsofelectricpowerconstructionengineeringqualitysupervisionandquality...2.4.1.1theunitworksacceptancerateof100%,thequalityevalu

3、ationofatotalscoreof95orabove;2.4.1.2regulatedWeldingNDTinspection100%,regulatedweldingapassingrateof>99%,andweldbeadappearance;2.4.1.3boilerhydraulic选送单位意见接受科室意见医务科意见进修结业自我鉴定（签名）年月日theprovisionsofelectricpowerconstructionengineeringqualitysupervisionandquality...2.4.1.1theunitworksacceptance

4、rateof100%,thequalityevaluationofatotalscoreof95orabove;2.4.1.2regulatedWeldingNDTinspection100%,regulatedweldingapassingrateof>99%,andweldbeadappearance;2.4.1.3boilerhydraulic科室入科时间入科交接（负责人签字）出科时间出科交接（负责人签字）医务科财务院办科室考核鉴定意见科主任签名：科室公章年月日医务科意见公章年月日注：1、本申请表填写完整后加盖单位公章，邮寄至安徽省口腔医院医务科地址：合肥市梅山路69号安徽

5、医科大学附属口腔医院（安徽省口腔医院）医务科邮编：2300322、联系电话：0551-5172125theprovisionsofelectricpowerconstructionengineeringqualitysupervisionandquality...2.4.1.1theunitworksacceptancerateof100%,thequalityevaluationofatotalscoreof95orabove;2.4.1.2regulatedWeldingNDTinspection100%,regulatedweldingapassingrateof>99%,

6、andweldbeadappearance;2.4.1.3boilerhydraulic