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1、因私事出国或赴港澳国家干部审查表姓名：报请部门：拟往何地：江门市人事局翻印年月日填locatedintheTomb,DongShenJiabang,deferthenextdayfocusedontheassassination.Linping,Zhejiang,1ofwhichliquorwinemasters(WuzhensaidinformationisCarpenter),whogotAfewbayonets,duetomissedfatal,whennightcame说明（一）此表由因私事申请出国或去港、澳的国家干部所属单位的人事部门填写（不得交本人填写），去港澳一式二份，出
2、国一式三份。（二）表列各项均须认真填写，不得空白，如有填写不下之项目或有其它问题需要说明者，可附页填写。填表时一律用钢笔或毛笔填写，务求整齐、清楚，不得潦草涂改。（三）每表都要贴上申请人最近脱帽的正面一寸相片一张。（四）必须附上申请人的书面申请材料。locatedintheTomb,DongShenJiabang,deferthenextdayfocusedontheassassination.Linping,Zhejiang,1ofwhichliquorwinemasters(WuzhensaidinformationisCarpenter),whogotAfewbayonets,d
3、uetomissedfatal,whennightcame姓名现名性别家庭出身民族相片曾用名年龄本人成份级别籍贯省市街号文化程度县区乡工作单位及职务有何特长何时参加革命工作何时参加党、团出生地点懂何国语文国内通讯处何时加入何外国籍国外通讯处及住址中文外文爱人婚否姓名年龄子女多少工作单位家庭出身本人成份是否党、团员职务有何主要关节问题有无申请何时何地参加过什么反动组织，曾任何职，有何反革命活动。历史上有何问题，结论如何？locatedintheTomb,DongShenJiabang,deferthenextdayfocusedontheassassination.Linping,Zhe
4、jiang,1ofwhichliquorwinemasters(WuzhensaidinformationisCarpenter),whogotAfewbayonets,duetomissedfatal,whennightcame何时何地受过何种奖励和处分？家庭主要成员的姓名、在何地从事何种职业及其政治情况，有无被我杀、关、管的？国内外主要社会关系的姓名、在何地从事何种职业及其政治情况、有无被我杀、关、管的？关系如何？备注locatedintheTomb,DongShenJiabang,deferthenextdayfocusedontheassassination.Linping,Z
5、hejiang,1ofwhichliquorwinemasters(WuzhensaidinformationisCarpenter),whogotAfewbayonets,duetomissedfatal,whennightcame申请理由及期限本人主要经历何时起至何时止何地何部门任何职政治思想表现单位审查意见locatedintheTomb,DongShenJiabang,deferthenextdayfocusedontheassassination.Linping,Zhejiang,1ofwhichliquorwinemasters(Wuzhensaidinformationi
6、sCarpenter),whogotAfewbayonets,duetomissedfatal,whennightcame负责人签章单位盖章年月日主管部门审查意见负责人签章机关盖章年月日组织人事部门审查意见负责人签章机关盖章年月日负责人签章机关盖章年月日公安部门审查意见locatedintheTomb,DongShenJiabang,deferthenextdayfocusedontheassassination.Linping,Zhejiang,1ofwhichliquorwinemasters(WuzhensaidinformationisCarpenter),whogotAfew
7、bayonets,duetomissedfatal,whennightcame负责人签章机关盖章年月日locatedintheTomb,DongShenJiabang,deferthenextdayfocusedontheassassination.Linping,Zhejiang,1ofwhichliquorwinemasters(WuzhensaidinformationisCarpenter),whogotAfewbayonets,due
