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["安徽省注册建造师基本信息确认表"]
["企业名称：                        ",null,null,"填报时间："]
["姓名",null,"性别",null,"照片"]
["出生年月",null,"证件号码"]
["已注册专业",null,"增项专业"]
["注册编号",null,"证书编号",null,"人脸信息"]
["资格证书编号"]
[]
["身份证"]
[]
[]
["   以上信息经本人确认无误，如有误产生的相关行政及法律责任由本人负责。                                                                                                                                                                                                                                                                                                "]
[null,null,"本人签字："]
["注：表中证件号码指身份证号码。"]