XLS《思想品德鉴定表》

"申请人思想品德鉴定表" ,,

,,

,,

"编号:",,

"1","申请人姓名:",,

,"性别:",,

"工作单位:",,

"2","常住地址:",,

,,

"邮编:",,

"

电话:", "3","身份证号码:",,

,,

"申请资格种类及学科:",,

, "4","工作、政治思想表现",,

,,

,,

, "5","热心社会公益事业情况",,

,,

,,

, "6","遵守社会公德情况",,

,,

,,

, "7","有无行政处分记录",,

,,

,,

, "8","有无犯罪记录(在户籍所在地派出所出具并盖章) "9","其他需要说明的情况",,

,,

,,

, "10","鉴定单位(全称) "11","鉴定单位地址",,

,,

"电话",,

"邮编", "(单位)填写人(签名):填写日期:年月日" "(加盖单位组织人事部门公章) "本表由中华人民共和国教育部监制" "附:认定机关联系

电话: "说明:

1、表中第1-3栏由申请人填写;

第4-11栏中除第8栏由公安派出所或警署填写外,其余均由申请人所在乡(镇、街道)填写.

"

2、"编号"由教师资格认定机关填写." "

3、填写字迹应该端正、规范." "

4、本表必须据实填写."