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["区块链技术与数据安全工业和信息化部重点实验室专家申请表"]
["姓      名",null,"出生年月",null,"性      别"]
[null,null,"职      称",null,"国      籍"]
[null,null,"手      机",null,"电子邮箱"]
["所在单位",{"$nulls":3},"职      务"]
["单位类型","   □高校  □科研机构   □企业  □政府/政府组织  □投资机构  □其他"]
["专      业",{"$nulls":3},"学术方向"]
["个人简介","（200字之内）"]
["代表性成果列表\n（5项）"]
["相关领域\n工作基础","（200字之内）",{"$nulls":5}," "]
["希望参与实验室研究方向及工作","□基础技术研究   □应用模型研究   □应用落地对接   □评估测试    □成果鉴定\n\n□标准研制       □蓝皮/白皮书编写     □行研报告编写     □培训授课\n  \n□其他（请标明）"]
["学术委员会\n审批意见","\n\n\n\n                                                 _____年____月____日   \n"]
[]
[]
[]
[]
["提交要求","1.如实填写表格；\n2.请重新命名本表格，命名格式为：实验室专家申请表--单位简称--专家姓名；\n3.请提交Excel版，不要转成图片；如转换成PDF格式，请同时提交可编辑Excel版；\n4.发电子邮件至fengliying@cics-cert.org.cn"]

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