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'남북통일당' 입당원서
본인은 '남북통일당'(가칭) 시, 도당에 입당하고자 이에 입당원서를 제출합니다.
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성명
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생년월일
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성별
남
여
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주소 (상세하게기재)
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이동전화
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이메일
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집전화
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직장
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직업
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학력
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주요경력
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제출일자
MM
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DD
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YYYY
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