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[{"$nulls":15},"厚生年金保険"]
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[null,null,"◎「※」印欄は記入しないでください。",null,"◎記入の方法は裏面に書いてありますのでよくお読みください。",null,null,"      健 康 保 険",{"$nulls":29},"適　　　　用　　　　区　　　　分",{"$nulls":35},"電　　話　　番　　号"]
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[{"$nulls":7},"　⑩　　　　事　業　主　又　は　代　表　者　の　氏　名",{"$nulls":29},"㋐　　事　業　主　又　は　代　表　者　の　住　所",{"$nulls":51},"㋑　変更年月日"]
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[{"$nulls":7},"　⑫※　全 喪 原 因",{"$nulls":12},"　⑭　　　昇　　給　　月",{"$nulls":15},"　⑯　 賞 与 支 払 予 定 月",{"$nulls":15},"⑱　現物給与の種類",{"$nulls":11},"⑳事業主代理人",{"$nulls":12},"㉒算定基礎届用紙作成",{"$nulls":11},"㉔賞与届用紙作成",{"$nulls":9},"㉕※提出形態表示"]
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[{"$nulls":7},"中部アイティ産業健康保険組合",{"$nulls":17},"㊲変更前",{"$nulls":28},"㊴変更前",{"$nulls":58},"　"]
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[{"$nulls":25},"㊳変更後",{"$nulls":28},"㊵変更後"]
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[{"$nulls":7},"㋘　国 ・ 地 方 公 共 団 体 番 号",{"$nulls":17},"㋙　　個　人　・　法　人　等　区　分",{"$nulls":22},"㋚　　本・支店区分",{"$nulls":12},"㋛　　内・外国区分",{"$nulls":23},"㋜ 　備　　考"]
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[{"$nulls":93},"受付日付印"]
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[{"$nulls":5},"【記入の方法】"]
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[{"$nulls":6},"１．①及び②は必ず記入してください。その他の欄については、変更があった場合のみ記入してください。"]
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[{"$nulls":6},"２．⑧の電話番号の市外局番と市内局番及び市内局番と加入番号の間には「－」を記入してください。"]
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[{"$nulls":6},"３．⑭及び⑯は次のように記入してください。"]
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[{"$nulls":8},"（例）昇給月が６月と12月の場合"]
[{"$nulls":12},"月",null,"月","月","月",null,"月"]
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[{"$nulls":6},"４．⑱の現物給与とは、食事、住宅貸与、被服支給及び定期券支給など報酬の一部又は全部を通貨以外のもので"]
[{"$nulls":6},"    支給する場合です。該当する文字全てを○印で囲んでください。"]
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[{"$nulls":6},"５．⑳は該当する文字を○印で囲んでください。"]
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[{"$nulls":6},"６．㋖㋗㋙㋚㋛に変更がある場合は、「変更前」と「変更後」それぞれの欄に記入又は該当する項目を○で囲んでください。"]
[{"$nulls":7},"　なお、㋖㋗に変更がある場合は、あわせて変更年月日を記入してください。"]
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[{"$nulls":5},"【添付書類】"]
[]
[{"$nulls":6},"１．平成28年１月以降、法人番号を変更する場合は、法人番号が確認できる通知書等のコピーを添付してください。"]
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[{"$nulls":6},"２．会社法人等番号を変更する場合は、法人登記簿謄本のコピーを添付してください。"]