2015 공적조서 서식

지도자연찬회 및 평가대회  공적조서 서식입니다. 제출기간 : 2015. 11. 3(화) 17:00 (기간엄수) E-mail : <a href="mailto:insuk6547@hanmail.net" target="_blank">insuk6547@hanmail.net</a>보내주시기바랍니다  <a href='javascript:fileFilterViewer("http://cfile269.uf.daum.net/attach/216DDD3C56283ABC0B4E2D", "/cfile269/21/6DDD3C56283ABC0B4E2D", "공 적 조 서 (시청견본).hwp", "grpid%3Ducgw%26fldid%3D5dk7%26dataid%3D826%26fileid%3D1%26regdt%3D20151022102626&url=http%3A%2F%2Fcfile269.uf.daum.net%2Fattach%2F216DDD3C56283ABC0B4E2D")'><img src="https://t1.daumcdn.net/daumtop_deco/icon/icon.hanmail.net/editor/p_etc_s.gif" border="0" alt="첨부파일" class="vam"/> 공 적 조 서 (시청견본).hwp</a> 공 적 조 서   <table style="border: 0.28pt solid rgb(0, 0, 0); border-collapse: collapse; mso-table-overlap: never;"><tbody><tr><td style="border-width: 1.7pt 0.28pt 1.7pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 76.99pt; height: 32.83pt;" vAlign="center">(1)성 명</td><td style="border-width: 1.7pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 194.76pt; height: 32.83pt;" vAlign="center" colSpan="7">   </td><td style="border-width: 1.7pt 1.7pt 1.7pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 236.06pt; height: 32.83pt;" vAlign="center" colSpan="7">(한 자) </td></tr><tr><td style="border-width: 1.7pt 0.28pt 1.7pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 76.99pt; height: 61.26pt;" vAlign="center" rowSpan="2">(2)생년월일</td><td style="border-width: 1.7pt 0.28pt; border-style: solid dotted solid solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 64.92pt; height: 61.26pt;" vAlign="center" rowSpan="2" colSpan="2">년</td><td style="border-width: 1.7pt 0.28pt; border-style: solid dotted; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 64.92pt; height: 61.26pt;" vAlign="center" rowSpan="2" colSpan="2">월</td><td style="border-width: 1.7pt 0.28pt; border-style: solid solid solid dotted; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 64.92pt; height: 61.26pt;" vAlign="center" rowSpan="2" colSpan="3">일</td><td style="border-width: 1.7pt 0.28pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 100.7pt; height: 30.63pt;" vAlign="center" colSpan="4">(3)군번 (군인의 경우)</td><td style="border-width: 1.7pt 1.7pt 0.28pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 135.36pt; height: 30.63pt;" vAlign="center" colSpan="3">   </td></tr><tr><td style="border-width: 0.28pt 0.28pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 100.7pt; height: 30.63pt;" vAlign="center" colSpan="4">(4)국적 (외국인의 경우)</td><td style="border-width: 0.28pt 1.7pt 1.7pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 135.36pt; height: 30.63pt;" vAlign="center" colSpan="3">   </td></tr><tr><td style="border-width: 1.7pt 0.28pt 1.7pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 76.99pt; height: 32.76pt;" vAlign="center">(5)주 소</td><td style="border-width: 1.7pt 1.7pt 1.7pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 430.82pt; height: 32.76pt;" vAlign="center" colSpan="14"> </td></tr><tr><td style="border-width: 1.7pt 0.28pt 1.7pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 76.99pt; height: 32.76pt;" vAlign="center">(6)직 업</td><td style="border-width: 1.7pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 186.7pt; height: 32.76pt;" vAlign="center" colSpan="6"> </td><td style="border-width: 1.7pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 85.95pt; height: 32.76pt;" vAlign="center" colSpan="3">(7)소 속</td><td style="border-width: 1.7pt 1.7pt 1.7pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 158.17pt; height: 32.76pt;" vAlign="center" colSpan="5"> </td></tr><tr><td style="border-width: 1.7pt 0.28pt 1.7pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 76.99pt; height: 32.76pt;" vAlign="center">(8)직 급</td><td style="border-width: 1.7pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 91.29pt; height: 32.76pt;" vAlign="center" colSpan="3">   </td><td style="border-width: 1.7pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 95.41pt; height: 32.76pt;" vAlign="center" colSpan="3">(9)직 위</td><td style="border-width: 1.7pt 0.56pt 1.7pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 85.95pt; height: 32.76pt;" vAlign="center" colSpan="3"> </td><td style="border-width: 1.7pt 0.56pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 81.77pt; height: 32.76pt;" vAlign="center" colSpan="4">(10)대외직명</td><td style="border-width: 1.7pt 1.7pt 1.7pt 0.56pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 76.4pt; height: 32.76pt;" vAlign="center">   </td></tr><tr><td style="border-width: 1.7pt 0.28pt 1.7pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 76.99pt; height: 32.76pt;" vAlign="center">(11)공적기간</td><td style="border-width: 1.7pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 186.7pt; height: 32.76pt;" vAlign="center" colSpan="6"> </td><td style="border-width: 1.7pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 85.95pt; height: 32.76pt;" vAlign="center" colSpan="3">(12)공적분야 </td><td style="border-width: 1.7pt 1.7pt 1.7pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 158.17pt; height: 32.76pt;" vAlign="center" colSpan="5"> </td></tr><tr><td style="border-width: 1.7pt 1.7pt medium; border-style: solid solid none; border-color: rgb(0, 0, 0) rgb(0, 0, 0) currentColor; padding: 1.41pt; width: 507.81pt; height: 27.8pt;" vAlign="center" colSpan="15">(13)공적요지(50자 내외) </td></tr><tr><td style="border-width: medium 1.7pt 1.7pt; border-style: none solid solid; border-color: currentColor rgb(0, 0, 0) rgb(0, 0, 0); padding: 1.41pt; width: 507.81pt; height: 125.51pt;" vAlign="center" colSpan="15"> ○   </td></tr><tr><td style="border-width: 1.7pt 0.28pt 1.7pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 102.04pt; height: 32.82pt;" vAlign="center" colSpan="2">(14) 추천훈격</td><td style="border-width: 1.7pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 144.53pt; height: 32.82pt;" vAlign="center" colSpan="4">   </td><td style="border-width: 1.7pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 108.55pt; height: 32.82pt;" vAlign="center" colSpan="5">(15) 추천순위</td><td style="border-width: 1.7pt 1.7pt 1.7pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 152.69pt; height: 32.82pt;" vAlign="center" colSpan="4">   </td></tr><tr><td style="padding: 1.41pt; border: 1.7pt solid rgb(0, 0, 0); width: 507.81pt; height: 29.99pt;" vAlign="center" colSpan="15">조 사 자</td></tr><tr><td style="border-width: 1.7pt 0.28pt 0.28pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 102.04pt; height: 31.41pt;" vAlign="center" colSpan="2">(16)소 속</td><td style="border-width: 1.7pt 0.28pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 222.54pt; height: 31.41pt;" vAlign="center" colSpan="7">   </td><td style="border-width: 1.7pt 0.28pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 81.97pt; height: 31.41pt;" vAlign="center" colSpan="4">(17)직 위</td><td style="border-width: 1.7pt 1.7pt 0.28pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 101.26pt; height: 31.41pt;" vAlign="center" colSpan="2">   </td></tr><tr><td style="border-width: 0.28pt 0.28pt 1.7pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 102.04pt; height: 31.41pt;" vAlign="center" colSpan="2">(18)직 급</td><td style="border-width: 0.28pt 0.28pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 222.54pt; height: 31.41pt;" vAlign="center" colSpan="7">   </td><td style="border-width: 0.28pt 0.28pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 81.97pt; height: 31.41pt;" vAlign="center" colSpan="4">(19)성 명</td><td style="border-width: 0.28pt 1.7pt 1.7pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 101.26pt; height: 31.41pt;" vAlign="center" colSpan="2">   </td></tr><tr><td style="border-width: 1.7pt 1.7pt medium; border-style: solid solid none; border-color: rgb(0, 0, 0) rgb(0, 0, 0) currentColor; padding: 1.41pt; width: 507.81pt; height: 89.7pt;" vAlign="center" colSpan="15"> 위 기록이 틀림없음을 확인합니다.     2015년   월  일</td></tr><tr><td style="border-width: medium 1.7pt 1.7pt; border-style: none solid solid; border-color: currentColor rgb(0, 0, 0) rgb(0, 0, 0); padding: 1.41pt; width: 507.81pt; height: 32.87pt;" vAlign="center" colSpan="15">추 천 관 직위 : 성명 : (인)</td></tr></tbody></table>    <table style="border: 0.28pt solid rgb(0, 0, 0); border-collapse: collapse; mso-table-overlap: never;"><tbody><tr><td style="padding: 1.41pt; border: 1.7pt solid rgb(0, 0, 0); width: 508.29pt; height: 27.16pt;" vAlign="center" colSpan="4">주 요 학 력 및 경 력</td></tr><tr><td style="border-width: 1.7pt 0.28pt 0.28pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 112.07pt; height: 29.99pt;" vAlign="center">(20) 년 월 일</td><td style="border-width: 1.7pt 0.28pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 149.21pt; height: 29.99pt;" vAlign="center">(21) 이 력</td><td style="border-width: 1.7pt 0.28pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 114.93pt; height: 29.99pt;" vAlign="center">(22) 년 월 일</td><td style="border-width: 1.7pt 1.7pt 0.28pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 132.08pt; height: 29.99pt;" vAlign="center">(23) 이 력</td></tr><tr><td style="border-width: 0.28pt 0.28pt 0.28pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 112.07pt; height: 29.99pt;" vAlign="center">   </td><td style="padding: 1.41pt; border: 0.28pt solid rgb(0, 0, 0); width: 149.21pt; height: 29.99pt;" vAlign="center">   </td><td style="padding: 1.41pt; border: 0.28pt solid rgb(0, 0, 0); width: 114.93pt; height: 29.99pt;" vAlign="center">   </td><td style="border-width: 0.28pt 1.7pt 0.28pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 132.08pt; height: 29.99pt;" vAlign="center">   </td></tr><tr><td style="border-width: 0.28pt 0.28pt 0.28pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 112.07pt; height: 29.99pt;" vAlign="center">   </td><td style="padding: 1.41pt; border: 0.28pt solid rgb(0, 0, 0); width: 149.21pt; height: 29.99pt;" vAlign="center">   </td><td style="padding: 1.41pt; border: 0.28pt solid rgb(0, 0, 0); width: 114.93pt; height: 29.99pt;" vAlign="center">   </td><td style="border-width: 0.28pt 1.7pt 0.28pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 132.08pt; height: 29.99pt;" vAlign="center">   </td></tr><tr><td style="border-width: 0.28pt 0.28pt 0.28pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 112.07pt; height: 29.99pt;" vAlign="center">   </td><td style="border-width: 0.28pt 0.28pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 149.21pt; height: 29.99pt;" vAlign="center">   </td><td style="padding: 1.41pt; border: 0.28pt solid rgb(0, 0, 0); width: 114.93pt; height: 29.99pt;" vAlign="center">   </td><td style="border-width: 0.28pt 1.7pt 0.28pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 132.08pt; height: 29.99pt;" vAlign="center">   </td></tr><tr><td style="padding: 1.41pt; border: 1.7pt solid rgb(0, 0, 0); width: 508.29pt; height: 27.16pt;" vAlign="center" colSpan="4">과거 표창기록 (훈장․포장․표창별로 기록)</td></tr><tr><td style="border-width: 1.7pt 0.28pt 0.28pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 112.07pt; height: 29.99pt;" vAlign="center">(24) 년 월 일</td><td style="border-width: 1.7pt 0.28pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 149.21pt; height: 29.99pt;" vAlign="center">(25) 포 상 종 류</td><td style="border-width: 1.7pt 0.28pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 114.93pt; height: 29.99pt;" vAlign="center">(26) 년 월 일</td><td style="border-width: 1.7pt 1.7pt 0.28pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 132.08pt; height: 29.99pt;" vAlign="center">(27) 포 상 종 류</td></tr><tr><td style="border-width: 0.28pt 0.28pt 0.28pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 112.07pt; height: 29.99pt;" vAlign="center">   </td><td style="padding: 1.41pt; border: 0.28pt solid rgb(0, 0, 0); width: 149.21pt; height: 29.99pt;" vAlign="center">   </td><td style="padding: 1.41pt; border: 0.28pt solid rgb(0, 0, 0); width: 114.93pt; height: 29.99pt;" vAlign="center">   </td><td style="border-width: 0.28pt 1.7pt 0.28pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 132.08pt; height: 29.99pt;" vAlign="center">   </td></tr><tr><td style="border-width: 0.28pt 0.28pt 0.28pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 112.07pt; height: 29.99pt;" vAlign="center">   </td><td style="padding: 1.41pt; border: 0.28pt solid rgb(0, 0, 0); width: 149.21pt; height: 29.99pt;" vAlign="center">   </td><td style="border-width: 0.28pt 0.28pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 114.93pt; height: 29.99pt;" vAlign="center">   </td><td style="border-width: 0.28pt 1.7pt 1.7pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 132.08pt; height: 29.99pt;" vAlign="center">   </td></tr><tr><td style="padding: 1.41pt; border: 1.7pt solid rgb(0, 0, 0); width: 508.29pt; height: 27.16pt;" vAlign="center" colSpan="4">(28) 공 적 사 항</td></tr><tr><td style="padding: 1.41pt; border: 1.7pt solid rgb(0, 0, 0); width: 508.29pt; height: 402.49pt;" vAlign="center" colSpan="4">       </td></tr></tbody></table> <table style="border: 0.28pt solid rgb(0, 0, 0); border-collapse: collapse; mso-table-overlap: never;"><tbody><tr><td style="padding: 1.41pt; border: 1.7pt solid rgb(0, 0, 0); width: 508.04pt; height: 41.36pt;" vAlign="center">(28) 공 적 사 항</td></tr><tr><td style="padding: 1.41pt; border: 1.7pt solid rgb(0, 0, 0); width: 508.04pt; height: 655.56pt;" vAlign="center"> </td></tr></tbody></table> 공적개요서<table style="border: 0.28pt solid rgb(0, 0, 0); border-collapse: collapse; mso-table-overlap: never; mso-table-anchor-vertical: paragraph; mso-table-top: 39.58pt; mso-table-anchor-horizontal: column; mso-table-left: left;"><tbody><tr><td style="border-width: 1.7pt 0.28pt 1.7pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 62.88pt; height: 48.28pt;" vAlign="center">소 속(주 소)</td><td style="border-width: 1.7pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 48.7pt; height: 48.28pt;" vAlign="center">직 업(직위)</td><td style="border-width: 1.7pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 59.97pt; height: 48.28pt;" vAlign="center">성 명(생년월일)</td><td style="border-width: 1.7pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 54.07pt; height: 48.28pt;" vAlign="center">수공기간</td><td style="border-width: 1.7pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 45.59pt; height: 48.28pt;" vAlign="center">기서훈및결격사유</td><td style="border-width: 1.7pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 196.5pt; height: 48.28pt;" vAlign="center">주 요 공 적</td><td style="border-width: 1.7pt 1.7pt 1.7pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 40.12pt; height: 48.28pt;" vAlign="center">비고</td></tr><tr><td style="border-width: 1.7pt 0.28pt medium 1.7pt; border-style: solid solid none; border-color: rgb(0, 0, 0) rgb(0, 0, 0) currentColor; padding: 1.41pt; width: 62.88pt; height: 8.8pt;" vAlign="center">   </td><td style="border-width: 1.7pt 0.28pt medium; border-style: solid solid none; border-color: rgb(0, 0, 0) rgb(0, 0, 0) currentColor; padding: 1.41pt; width: 48.7pt; height: 8.8pt;" vAlign="center">   </td><td style="border-width: 1.7pt 0.28pt medium; border-style: solid solid none; border-color: rgb(0, 0, 0) rgb(0, 0, 0) currentColor; padding: 1.41pt; width: 59.97pt; height: 8.8pt;" vAlign="center">   </td><td style="border-width: 1.7pt 0.28pt medium; border-style: solid solid none; border-color: rgb(0, 0, 0) rgb(0, 0, 0) currentColor; padding: 1.41pt; width: 54.07pt; height: 8.8pt;" vAlign="center">   </td><td style="border-width: 1.7pt 0.28pt medium; border-style: solid solid none; border-color: rgb(0, 0, 0) rgb(0, 0, 0) currentColor; padding: 1.41pt; width: 45.59pt; height: 8.8pt;" vAlign="center">   </td><td style="border-width: 1.7pt 0.28pt medium; border-style: solid solid none; border-color: rgb(0, 0, 0) rgb(0, 0, 0) currentColor; padding: 1.41pt; width: 196.5pt; height: 8.8pt;" vAlign="center">   </td><td style="border-width: 1.7pt 1.7pt medium 0.28pt; border-style: solid solid none; border-color: rgb(0, 0, 0) rgb(0, 0, 0) currentColor; padding: 1.41pt; width: 40.12pt; height: 8.8pt;" vAlign="center">   </td></tr><tr><td style="border-width: medium 0.28pt 1.7pt 1.7pt; border-style: none solid solid; border-color: currentColor rgb(0, 0, 0) rgb(0, 0, 0); padding: 1.41pt; width: 62.88pt; height: 542.74pt;" vAlign="top">   </td><td style="border-width: medium 0.28pt 1.7pt; border-style: none solid solid; border-color: currentColor rgb(0, 0, 0) rgb(0, 0, 0); padding: 1.41pt; width: 48.7pt; height: 542.74pt;" vAlign="top">   </td><td style="border-width: medium 0.28pt 1.7pt; border-style: none solid solid; border-color: currentColor rgb(0, 0, 0) rgb(0, 0, 0); padding: 1.41pt; width: 59.97pt; height: 542.74pt;" vAlign="top">   </td><td style="border-width: medium 0.28pt 1.7pt; border-style: none solid solid; border-color: currentColor rgb(0, 0, 0) rgb(0, 0, 0); padding: 1.41pt; width: 54.07pt; height: 542.74pt;" vAlign="top">   </td><td style="border-width: medium 0.28pt 1.7pt; border-style: none solid solid; border-color: currentColor rgb(0, 0, 0) rgb(0, 0, 0); padding: 1.41pt; width: 45.59pt; height: 542.74pt;" vAlign="top">   </td><td style="border-width: medium 0.28pt 1.7pt; border-style: none solid solid; border-color: currentColor rgb(0, 0, 0) rgb(0, 0, 0); padding: 1.41pt; width: 196.5pt; height: 542.74pt;" vAlign="top">□ ◦ ◦ ◦   </td><td style="border-width: medium 1.7pt 1.7pt 0.28pt; border-style: none solid solid; border-color: currentColor rgb(0, 0, 0) rgb(0, 0, 0); padding: 1.41pt; width: 40.12pt; height: 542.74pt;" vAlign="top">   </td></tr></tbody></table> 현지조사확인서 1. 인적사항<table style="border: 0.28pt solid rgb(0, 0, 0); border-collapse: collapse; mso-table-overlap: never;"><tbody><tr><td style="border-width: 1.7pt 0.28pt 0.28pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 189.6pt; height: 32.84pt;" vAlign="center" colSpan="2">소 속(민간인은 주소)</td><td style="border-width: 1.7pt 1.7pt 0.28pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 318.4pt; height: 32.84pt;" vAlign="center" colSpan="3"> </td></tr><tr><td style="border-width: 0.28pt 0.28pt 0.28pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 127pt; height: 32.84pt;" vAlign="center">직 위 (직급) </td><td style="padding: 1.41pt; border: 0.28pt solid rgb(0, 0, 0); width: 127pt; height: 32.84pt;" vAlign="center" colSpan="2"> </td><td style="padding: 1.41pt; border: 0.28pt solid rgb(0, 0, 0); width: 127pt; height: 32.84pt;" vAlign="center">생 년 월 일</td><td style="border-width: 0.28pt 1.7pt 0.28pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 127pt; height: 32.84pt;" vAlign="center">   </td></tr><tr><td style="border-width: 0.28pt 0.28pt 1.7pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 127pt; height: 32.84pt;" vAlign="center">성 명</td><td style="border-width: 0.28pt 1.7pt 1.7pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); padding: 1.41pt; width: 381pt; height: 32.84pt;" vAlign="center" colSpan="4"> (한 자) </td></tr></tbody></table>    2. 현지조사 확인내용 ○ 품 성 :   ○ 지역여론(공사생활 등) :   ○ 현지확인조사 결과 :   ○ 공적내용(공적내용과 일치여부) :   2 0 1 5년   월    일   (현지조사자) 소 속 : 직 위 : 성 명 : (인)