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["附件2"]
[]
["山西省高校新区教职工公共租赁住房实物配租申请表"]
[]
["申\n请\n人\n情\n况","姓   名",null,"身份证号",{"$nulls":3},"照片"]
[null,"性   别",null,"年    龄",null,"工作年限"]
[null,"工作院校",{"$nulls":3},"婚姻状况"]
[null,"住房情况","是否由学校安排周转房",{"$nulls":3},"职  称"]
[null,null,"是否在晋中市城区购买住房",{"$nulls":3},"职  务"]
[null,"户籍地",null,null,"现居住地"]
[null,"年可支配收入",null,"   元/年 ",null,"联系电话"]
["配偶\n情况","姓   名",null,"年  龄",null,"身份证号"]
[null,"工作单位",{"$nulls":3},"联系电话"]
["申请人承  诺","    本人对上述内容及所提供资料的真实性负责，并遵守公共租赁住房保障的相关规定。如资料虚假或违反规定，保障资格即行终止。"]
[{"$nulls":4},"申请人签名：",null,null,"年   月   日 "]
["学 校初 审意 见"]
[null,"承办人签名：",null,"  学校签章：",{"$nulls":3},"年   月   日 "]
[]
["住 房情 况核 实","经核实，申请人及其配偶在我市城区购买住房情况为："]
[{"$nulls":3},"  核实单位签章：",{"$nulls":3},"年   月   日 "]
[]
["住房保障部门意  见",null,null,"  住房保障部门签章：",{"$nulls":3},"年   月   日 "]
[]
[]
["备 注：","1.“申请人情况”栏内“住房情况”是指夫妻双方的住房情况；2.本表一式两份，后两栏由住房保障部门组织填写，其它内容由申请人及院校填写；3.附申请人及配偶身份证、结婚证复印件。"]

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