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["以团队方式选派人员出国留学申报团队成员情况一览表"]
["序号","单位","姓名","性别","出生年月","政治面貌","最高学位/毕业时间","来校工作时间","专业技术职务","行政职务","申报国别","计划留学单位","留学期限","留学专业名称","留学身份","计划留学起止时间","外语水平是否达到基金委要求","是否获得正式邀请函","是否享受过国家留学基金资助（若是，需填写最后一次资助回国起止时间）"]
[]
[1,"**学院","**","*",1980.01,"中共党员","博士2011.01",2011.01,"讲师","无","澳大利亚","悉尼大学","12个月","**","访问学者","2016.09-2017.09","是","是","是2000.1.12-2001.1.11"]
[]
[]
[]
[]
["      经审核，以上内容情况属实。                           \n                                                                               \n                     填表人签名：                           日期：                   联系电话："]
["        单位盖章：                    党、政领导签字：                    日期：           "]