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["………………………………………………………………………………………………………………………………………………………………\n装       订       线","外埠城镇人员和农民合同制职工失业保险待遇申领登记表"]
[]
[]
[]
[null,"组织机构代码：10000619-4",{"$nulls":3},"社会保险登记证编码：110105003620"]
[null,"单位名称（章）：中国国际技术智力合作有限公司"]
[null,"单位填写项"]
[null,"公民身份证号",null,null,"姓名","性别","解除劳动合同时间",null,"申领登记时间    （年/月）"]
[]
[]
[null,"个人申请    "]
[]
[null,"     本人姓名         ，身份证号码                    ，户口性质        \n\n（本市农村、外埠农村、外埠城镇），于        年        月失业，现申请："]
[]
[null,"    在京领取失业保险待遇（     ）"]
[]
[null,"    转回原籍领取失业保险待遇（     ）"]
[]
[]
[]
[{"$nulls":5},"申请人签字：            "]
[{"$nulls":5},"联系电话："]
[]
[null,"单位负责人:",{"$nulls":3},"单位填报人："]
[null,"联系电话：",{"$nulls":3},"填表日期:      年   月   日"]
[null,"社保经办人：",{"$nulls":3},"接收时间：     年   月  日"]
[]
[null,"填表说明："]
[null,"1.本表一式两份，经审核后，用人单位留存一份。社保经（代）办机构留存一份。"]
[null,"2.此表为在京参保的外埠城镇人员和农民合同制职工专用，参保单位和个人对所填写人内容真实有效性负责；"]
[null,"3.只有户口性质为“外埠城镇”的人员才能选择“转回原籍领取失业保险待遇”，在办理此项业务时，单位还须提供《外埠城镇人员失业保险待遇划转信息表》。"]

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