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["附件2："]
["个人健康信息承诺书"]
["姓名：              ；身份证号：                                        "]
["请在相应环节□内打“√” □资格复审  □面试  □体检"]
["天 数","日 期","A、本人、家人及共同居住人员是否存在发热、乏力、咳嗽、呼吸困难、腹泻等症状","B、是否与新冠肺炎确诊病例、疑似病例、无症状感染者及上述3类人员密切接触者有密切接触史","C、是否有国（境）外旅居史","D、是否有国内高风险区旅居史","E、是否有国内中风险区旅居史","F、是否有国内低风险区旅居史"]
["第1天","月   日","是□ 否□","是□ 否□","是□ 否□","是□ 否□","是□ 否□","是□ 否□"]
["第2天","月   日","是□ 否□","是□ 否□","是□ 否□","是□ 否□","是□ 否□","是□ 否□"]
["第3天","月   日","是□ 否□","是□ 否□","是□ 否□","是□ 否□","是□ 否□","是□ 否□"]
["第4天","月   日","是□ 否□","是□ 否□","是□ 否□","是□ 否□","是□ 否□","是□ 否□"]
["第5天","月   日","是□ 否□","是□ 否□","是□ 否□","是□ 否□","是□ 否□","是□ 否□"]
["第6天","月   日","是□ 否□","是□ 否□","是□ 否□","是□ 否□","是□ 否□","是□ 否□"]
["第7天","月   日","是□ 否□","是□ 否□","是□ 否□","是□ 否□","是□ 否□","是□ 否□"]
["第8天","月   日","是□ 否□","是□ 否□","是□ 否□","是□ 否□","是□ 否□","是□ 否□"]
["第9天","月   日","是□ 否□","是□ 否□","是□ 否□","是□ 否□","是□ 否□","是□ 否□"]
["第10天","月   日","是□ 否□","是□ 否□","是□ 否□","是□ 否□","是□ 否□","是□ 否□"]
["从外地到石家庄市的日期、出发地、途径地、交通方式（车次）、居住宾馆，请在右侧栏详细描述。（无此类情况请填“无”）"]
["考生承诺",null,"    本人承诺：以上所填内容真实、准确、完整，如隐瞒、漏报情况造成危及公共安全后果，本人将承担相应的法律责任，自愿接受《治安管理处罚法》、《传染病防治法》和《关于依法惩治妨害新型冠状病毒感染肺炎疫情防控违法犯罪的意见》等法律法规的处罚和制裁。"]
[" "]
["下载打印后，本人签字。                   签字：                  "]

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