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{"sheet":"別紙様式３（求職）","index":0,"n_rows":44,"n_cols":26,"rows_kept":44,"cut":false,"hidden":false,"merged":[[32,0,32,25],[10,3,10,22],[15,0,15,25],[16,0,16,8],[19,0,19,8],[22,0,22,18],[31,0,31,25]]}
["別紙様式３"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（認定番号",null,null,null,null,null,null,null,"）"]
[null,"　神石高原町長　",null,null,null,null,"宛",null,null,null,null,null,null,null,"※保護者が記入してください。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"保育所等名",null,null,null,null,null,null,null,"申込"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"通所中"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"児童名"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"児童生年月日",null,null,null,"（　　　年　　月　　日）"]
[]
[]
[null,null,null,"申　立　書（求職活動要件）"]
["保護者名",null,null,null,null,null,null,null,null,null,"生年月日"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
["申立内容（状況をできるだけ詳しく記入してください。求職活動をおこなっている日数・時間等を具体的に記入し、ハローワークカード又は雇用保険受給資格者証の写しを添付してください。）"]
["　求職活動をしている時間帯"]
[]
[]
["　就職希望日（予定）"]
[]
[]
["　内容（求職活動により保育を希望する具体的な理由等）"]
[]
[]
[]
[]
[]
[]
[]
[]
["※ハローワークカードの写し又は雇用保険受給資格者証の写しを裏面に貼り付けてください。"]
["　私の支給認定及び保育所等の入所に係る事由は次のとおりです。この申請により支給認定（変更）が行われることを了承します。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[null,null,null,null,"申立者"]
[]
[null,null,null,null,null,null,null,null,"住　所",null,null,"神石高原町"]
[]
[null,null,null,null,null,null,null,null,"名　前"]
[]
["※　この申立書は保育所等入所事務のために使用するものです。"]
["※　就労を開始した場合には、就労証明書を提出して保育必要量の認定を受け直す必要があります。"]