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["LH 기술심의위원(설계분과) 신청서"]
[]
["성    명","한    글",null,null,"한    자",null,null,null,"사    진 "]
["생년월일","2000-01-01",{"$nulls":9},"전문분야","토질및기초","토목구조","토목시공","상하수도","수자원","조경","도로","교통","도시계획","환경","건축계획","건축구조","건축시공","건축기계설비","산업설비","환경설비","항만","건축전기","전기전력","통신전자제어"]
["지원분야","전문분야","토질및기초",null,"세부전문","사면안정, 연약지반처리, 터널토질"]
["연 락 처","주    소","(사무실)"]
[null,null,"(자  택)"]
[null,"전화번호","(사무실)",null,null,"(팩  스)"]
[null,null,"(휴대폰)"]
[null,"E-mail"]
["직장현황","직 업 군","설계사",null,"기 관 명",null,null,"부서(학과)",null,null,null,"직업군","교수","공무원","공기업","연구원","설계사","시공사"]
[null,"직    렬",null,null,"직    위",null,null,"직    급"]
[null,"담당업무"]
["학력현황","구분","졸업년월","출신학교",null,"출신학과",null,"세부전공"]
[null,"학사","2000-01-01"]
[null,"석사"]
[null,"박사"]
["자격현황","구분","취득년월","자격종목 및 등급",null,null,"자격 등록 번호",null,"인가․관리기관"]
[null,"기술사","2000-01-01","000기술사",{"$nulls":7},"자격","기술사","건축사","기타(기사, 산업기사 등)"]
[]
[]
[]
["해당분야\n근무경력","해당 지원분야 근무기간",null,null,null,"근 무 처",null,"직위(급)","담 당 업 무"]
[null,"시작년월",null,"종료년월"]
[]
[]
[]
[]
[]
["해당분야\n주요사업\n참여실적\n\n - 시공/설계/\n   견적/감리/\n   CM/연구/\n   기타용역 등","해당 지원분야 주요사업 참여기간",null,null,null,"주관기관","사업명\n(프로젝트명)",null,"참여형태 및 담당업무"]
[null,"시작년월",null,"종료년월"]
[]
[]
[]
[]
[]
[]
["위에 기재한 사항은 사실과 틀림이 없음"]
[]
[{"$nulls":5},"2022년     3월      일"]
[]
["※ 상기 개인정보와 관련하여 개인정보보호법 제15조에 따른 개인정보 수집에 대하여 동의합니다.       "]
["   1. 개인정보의 수집․이용 목적 : 기술심의위원 선임 및 활동"]
["   2. 수집하려는 개인정보의 항목 : 생년월일, 전화번호, 직장정보 등 위원선임 및 활동을 위한 개인정보 (주민등록번호는 수집하지 않음)"]
["   3. 개인정보의 보유 및 이용 기간 : 기술심의위원 선임기간내"]
["   4. 동의를 거부할 권리가 있으며 동의 거부시 위원선임이 불가합니다."]
[]
[{"$nulls":5},"성 명 :",{"$f":"C3","v":0},null,"(서명/인)"]
[]
[]
["한국토지주택공사 사장 귀하"]

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