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["长期未与组织联系的党员情况统计表"]
["单位（盖章）：",{"$nulls":6},"填表人：",{"$nulls":3},"填表日期："]
["序号","单   位","姓 名","性别","民族","出生日期","个人身份","入党时间","离校时间","离校原因","现工作单位","缴纳党费情况","联系\n情况","拟处理\n意  见","备注\n(学生注明年级)"]
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["注：1.“离校原因”一栏填写“毕业”、“暂缓就业”、“工作调动”、“自动辞职”等。\n    2.“缴纳党费情况”一栏填写党费缴至月份和党费缴纳方式（如委托代交、补交等）。\n    3.“联系情况”一栏填写与党员联系是否取得联系，联系结果如何等。"]

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