关于举办第三期GSP检查员培训班的通知

┌───┬────┬───┬───┬────┬─────┬───┬────┐
│ 姓名 │        │ 性别 │      │出生年月│          │ 职务 │        │
├───┼───┬┴───┼───┼───┬┴──┬──┴─┬─┴────┤
│ 职称 │      │所学专业│      │ 学历 │      │联系电话│            │
├───┴───┼────┴───┴───┴───┴────┴──────┤
│工作单位及部门│                                                        │
├────┬──┴─────────────────┬───┬──────┤
│通信地址│                                        │ 邮编 │            │
├────┼────────────────────┴───┴──────┤
│        │                                                              │
│ 从事   │                                                              │
│ 药品   │                                                              │
│ 质量   │                                                              │
│ 管理   │                                                              │
│ 工作   │                                                              │
│ 简历   │                                                              │
│        │                                                              │
├────┴─────────────┬─────────────────┤
│    个人经历中有无行政或刑事处分    │                                  │
├────┬─────────────┴─────────────────┤
│        │                                                              │
│ 所在   │                                                              │
│ 单位   │                                                              │
│ 意见   │                                                              │
│        │                                             年 月 日（盖章） │
├────┼───────────────────────────────┤
│        │                                                              │
│ 省级   │                                                              │
│ 药品   │                                                              │
│ 监督   │                                                              │
│ 管理   │                                                              │
│ 部门   │                                                              │
│ 意见   │                                                              │
│        │                                             年 月 日（盖章） │
└────┴───────────────────────────────┘