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["                               确 定 入 党 申 请 人 备 案 表"]
["          ：（上级党委名称）"]
["    经             党支部，      年     月      日讨论，批准确定        等     名同\n志为入党申请人。"]
["支部","姓名","性\n别","出生\n日期（格式例如1995.03.01）","身份证号","学历","个人\n身份（填写本科/硕士/博士的年级，例如：硕士一年级）","申请入\n党时间（格式例如2016.10.09）","推荐或\n推优方式","培养\n联系人姓名","班级","民族（格式例如：汉族）","籍贯（格式例如：湖南浏阳）","联系电话","QQ号"]
[]
[]
[]
["党支部书记签名：                                  年    月    日"]