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["身体健康状况监测记录表及承诺书"]
["姓名",null,"身份证号码：",null,null,"    准考证号："]
["考前天数","日期","A、本人、家人及共同居住人员是否存在发热、乏力、咳嗽、呼吸困难、腹泻等病症（在相应处画对钩）",null,"B、本人或共同居住的人员是否有国内疫情中、高风险地区或国（镜）外旅居史（相应处画对钩）",null,"C、是否是新冠肺炎密切接触人员（相应处画对钩）"]
["第1天","   月  日","是","否","是","否","是","否"]
["第2天","   月  日","是","否","是","否","是","否"]
["第3天","   月  日","是","否","是","否","是","否"]
["第4天","   月  日","是","否","是","否","是","否"]
["第5天","   月  日","是","否","是","否","是","否"]
["第6天","   月  日","是","否","是","否","是","否"]
["第7天","   月  日","是","否","是","否","是","否"]
["第8天","   月  日","是","否","是","否","是","否"]
["第9天","   月  日","是","否","是","否","是","否"]
["第10天","   月  日","是","否","是","否","是","否"]
["第11天","   月  日","是","否","是","否","是","否"]
["第12天","   月  日","是","否","是","否","是","否"]
["第13天","   月  日","是","否","是","否","是","否"]
["第14天","   月  日","是","否","是","否","是","否"]
["考试当日，考生进入考点检测的体温"]
["从外地到考试城市的日期、出发地、途经地、交通方式（车次）居住宾馆，请在右侧栏详细描述。（无此类情况请填写“无”"]
[]
[]
[]
["考生承诺",null,"本人承诺：以上所填内容真实、准确、完整，如隐瞒、漏报情况造成危及公共安全后果，本人将承担相应的法律责任，资源接受《治安管理处罚法》、《传染病防治法》和《关于依法惩治妨害新型冠状病毒感染肺炎防控违法犯罪的意见》等法律法规的处罚和制裁。"]
["考试前一天打印，需本人签字。",{"$nulls":4},"签字："]

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