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[null,"就労証明書"]
[null,"                  東北町長",null,null,null,null,null,null,null,null,"宛"]
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[null,null,"【民生･児童委員証明】下記について、相違ないことを証明します",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"所在地"]
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[null,null,"下記の内容について、事実であることを証明いたします。"]
[null,null,"※本証明書の内容について、就労先事業者に無断で作成し、又は改変を行ったときには、刑法上の罪に問われる場合があります。"]
[]
[null,"No.",null,"項目",null,null,null,null,null,"記載欄"]
[null,"就労先事業者に関する事項"]
[null,null,1,"業種",null,null,null,null,null,"　"]
[]
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[null,null,null,null,null,null,null,null,null,"　",null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"就労者に関する事項"]
[null,null,2,"フリガナ"]
[null,null,null,"本人氏名"]
[null,null,3,"本人住所"]
[null,"就労状態等に関する事項"]
[null,null,4,"雇用(予定)期間等",null,null,null,null,null,null,null,null,null,"期間  （無期の場合は\n雇用開始日のみ）",null,null,null,null,null,null,null,null,"年",null,"月",null,"日","～",null,null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,null,null,null,"雇用期間更新の有無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(",null,null,null,null,null,null,null,null,")"]
[null,null,5,"就労先事業所名"]
[null,null,6,"就労先住所",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"通勤時間",null,null,null,"時間",null,null,"分"]
[null,null,7,"就労先電話番号"]
[null,null,8,"雇用の形態",null,null,null,null,null,"　"]
[null,null,null,null,null,null,null,null,null,"　",null,null,null,null,null,null,null,null,null,"(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
[null,null,9,"就労時間\n(固定就労の場合)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"合計時間",null,null,"月間",null,null,null,null,"時間",null,null,null,"分"]
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[null,null,11,"就労実績\n※有給休暇を含む",null,null,null,null,null,"年月",null,null,null,"年",null,null,"月",null,"年月",null,null,null,"年",null,null,"月",null,"年月",null,null,null,"年",null,null,"月"]
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[null,null,12,"産前･産後休業の取得\n※取得予定を含む",null,null,null,null,null,"　"]
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[null,null,13,"育児休業の取得\n※取得予定を含む"]
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[null,null,null,null,null,null,null,null,null,"短縮可能年月日",null,null,null,null,null,"年",null,null,"月",null,null,"日","延長可能年月日",null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[null,null,14,"復職（予定）年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[null,"その他"]
[null,null,15,"備考欄\n（保育士資格等）"]
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[null,null,"保護者記載欄"]
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[null,null,"児童名",null,null,null,null,null,null,null,"生年月日",null,null,null,null,"年",null,null,"月",null,null,"日","本人との続柄",null,null,null,null,null,null,null,"(",null,null,null,")"]
[null,null,"施設・園等の名称",null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
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[null,null,"施設・園等の名称",null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
[null,null,"児童名",null,null,null,null,null,null,null,"生年月日",null,null,null,null,"年",null,null,"月",null,null,"日","本人との続柄",null,null,null,null,null,null,null,"(",null,null,null,")"]
[null,null,"施設・園等の名称",null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]

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[]
["就労証明書"]
["東北町長",null,null,null,null,null,null,null,null,"宛"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業所名",null,null,null,"(株)　〇〇建設"]
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[null,"【民生･児童委員証明】下記について、相違ないことを証明します",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"所在地",null,null,null,"東北町上北南〇〇-〇"]
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[null,"民生委員",null,null,"東北　〇△",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名",null,null,null,"東〇　〇子"]
[null,"電話番号",null,null,"090-〇〇〇〇-〇〇〇〇",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"記載者連絡先",null,null,null,"(0176)56-〇〇〇〇"]
[null,"下記の内容について、事実であることを証明いたします。"]
[null,"※本証明書の内容について、就労先事業者に無断で作成し、又は改変を行ったときには、刑法上の罪に問われる場合があります。"]
[]
["No.",null,"項目",null,null,null,null,null,"記載欄"]
["就労先事業者に関する事項"]
[null,1,"業種",null,null,null,null,null,"　"]
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["就労者に関する事項"]
[null,2,"フリガナ",null,null,null,null,null,"　トウホク　タロウ"]
[null,null,"本人氏名",null,null,null,null,null,"　東北　太郎"]
[null,3,"本人住所",null,null,null,null,null,"　東北町上北南〇-〇-〇"]
["就労状態等に関する事項"]
[null,4,"雇用(予定)期間等",null,null,null,null,null,null,null,null,null,"期間  （無期の場合は\n雇用開始日のみ）",null,null,null,null,null,null,2021,null,"年",4,"月",1,"日","～",null,null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,null,null,"雇用期間更新の有無",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(",null,null,null,null,null,null,null,null,")"]
[null,5,"就労先事業所名",null,null,null,null,null,"　(株)　〇〇建設"]
[null,6,"就労先住所",null,null,null,null,null,"　東北町上北南〇〇-〇",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"通勤時間",null,null,0,"時間",null,10,"分"]
[null,7,"就労先電話番号",null,null,null,null,null,"　(0176)56-〇〇〇〇"]
[null,8,"雇用の形態",null,null,null,null,null,"　"]
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[null,9,"就労時間\n(固定就労の場合)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"合計時間",null,null,"月間",null,null,160,null,"時間",null,0,null,"分"]
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[null,null,null,null,null,null,null,null,"土曜",null,null,null,"時",null,null,"分",null,null,"～",null,null,"時",null,null,"分"]
[null,null,null,null,null,null,null,null,"日祝",null,null,null,"時",null,null,"分",null,null,"～",null,null,"時",null,null,"分"]
[null,10,"就労時間\n(変則就労の場合)",null,null,null,null,null,"合計時間",null,null,null,null,null,null,null,null,null,null,null,null,"時間",null,null,null,"分"]
[null,null,null,null,null,null,null,null,"主な就労時間帯・シフト時間帯",null,null,null,null,null,null,null,null,null,null,null,"時",null,null,"分",null,"～",null,null,"時",null,null,"分"]
[null,11,"就労実績\n※有給休暇を含む",null,null,null,null,null,"年月",null,2021,null,"年",10,null,"月",null,"年月",null,2021,null,"年",11,null,"月",null,"年月",null,2021,null,"年",12,null,"月"]
[null,null,null,null,null,null,null,null,20,null,null,null,null,null,"日／月",null,null,20,null,null,null,null,null,"日／月",null,null,20,null,null,null,null,null,"日／月"]
[null,12,"産前･産後休業の取得\n※取得予定を含む",null,null,null,null,null,"　"]
[null,null,null,null,null,null,null,null,"期間",null,null,null,"年",null,null,"月",null,null,"日",null,"～",null,null,null,null,"年",null,null,"月",null,null,"日"]
[null,13,"育児休業の取得\n※取得予定を含む"]
[null,null,null,null,null,null,null,null,"期間",null,null,null,"年",null,null,"月",null,null,"日",null,"～",null,null,null,null,"年",null,null,"月",null,null,"日"]
[null,null,null,null,null,null,null,null,"短縮可能年月日",null,null,null,null,null,"年",null,null,"月",null,null,"日","延長可能年月日",null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[null,14,"復職（予定）年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
["その他"]
[null,15,"備考欄\n（保育士資格等）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（※事業者証明欄はここまで）"]
[]
[]
[]
[null,"保護者記載欄"]
[]
[null,"児童名",null,"　東北　秋人",null,null,null,null,null,"生年月日",null,null,2016,null,"年",9,null,"月",30,null,"日","本人との続柄",null,null,null,null,null,null,null,"(",null,null,null,")"]
[null,"施設・園等の名称",null,null,null,null,null,null,null,null,null,null,null,null,"（","〇〇〇保育園",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
[null,"児童名",null,null,null,null,null,null,null,"生年月日",null,null,null,null,"年",null,null,"月",null,null,"日","本人との続柄",null,null,null,null,null,null,null,"(",null,null,null,")"]
[null,"施設・園等の名称",null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
[null,"児童名",null,null,null,null,null,null,null,"生年月日",null,null,null,null,"年",null,null,"月",null,null,"日","本人との続柄",null,null,null,null,null,null,null,"(",null,null,null,")"]
[null,"施設・園等の名称",null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]