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[null,"汕头市市区建设工程劳保费调剂补助申请表( 2009年下半年度)                                 "]
[{"$nulls":15},"编号："]
[null,"申请单位   (公章)",null,"法人代表",null,"资质等级",null,null,"申  请  理  由"]
[null,"主营范围",null,"企业性质",null,"成立时间"]
[null,"社保登记证号及发证单位",null,null,"地税纳税编码"]
[null,"劳保费开设   银行及帐号"]
[null,"在册职工     平均人数","总          人，其中：固定工        人，合同工       人",null,null,"离退休人数","人"]
[null,"施工产值","总                     万元。其中：外地                万元；本市             万元"]
[null,"在建任务","总                     万元。其中：外地                万元；本市             万元"]
[null,"投保情况  （本半年度）","已投保            人。其中：固定工          人；合同工          人；临时工         人"]
[null,null,"缴交额               万元，欠缴额               万元",null,null,"历年累      积欠缴","万元",{"$nulls":6},"法定代表人(签章)："]
[null,"申请金额","总额                       万元",{"$nulls":11},"年","月","日"]
[null," 领取劳保费基本部分情况            (本半年度)",{"$nulls":6},"主管单位意见",{"$nulls":4},"区 建 设 与 管 理 局 意 见"]
[{"$nulls":11},"（公章）",{"$nulls":4},"（公章）"]
[{"$nulls":10},"年","月","日",null,null,"年","月","日"]
[null,"注：","一、企业上报《申请表》时须提交以下资料："]
[null,null,"1、社保管理机构核发的《社会保险登记证》、《年参加社会保险人员变动登记卡》和《建筑企业缴纳社会保险情况证明书》原件及复印件各一份。"]
[null,null,"2、企业每月缴纳社会保险费的《银行电子缴税付款凭证》（上半年度为1～6月；下半年度为7～12月）复印件共六份。"]
[null,null,"二、“在职职工人数”、“施工产值”、“在建任务”、“投保情况”均指本半年度的情况。"]
[null,null,"三、“领取劳保费基本部分情况”栏应详细填写本半年度内建设单位缴纳的工程劳保费，施工企业可领取基本部份的工程项目名称、金额及日期。"]
[null,null,"四、“申请理由”栏中填写企业的困难情况、劳保费的各项开支情况。"]
[]
[{"$nulls":4},"申请单位联系人：",{"$nulls":4},"联系电话：",{"$nulls":4}," 申请日期：          年         月        日"]

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