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["华南理工大学教职工死亡呈报表(一式两份)"]
[]
["姓名",null,"性别",null,"出生年月",null,"民族"]
["身份证号",{"$nulls":4},"参加工作时间"]
["原职务",{"$nulls":4},"文化程度"]
["籍贯","    省          市         镇       村"]
["死亡时间",{"$nulls":3},"死亡地点"]
["死亡原因"]
["家庭成员及经济来源情况","家庭成员及工作情况"]
["单位处理意见"]
["人事处处理意见"]
["备注","办理抚恤金的联系人及联系方式"]