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员工抚恤申请表.doc

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员工抚恤申请表申请人姓名性别年龄地址与死亡人关系身份证号死亡者姓名性别年龄职称到职日期原薪金死亡日期与执行公务关系劳保年数死亡原因适用条款抚恤金数额1.抚恤金2.特别抚恤金 个月薪金共计 元需交证件1.死亡证明一份2.护照/户籍副本一份总经理核定财务部主管人备注说明：本表一式两份，一份经核定后财务部发给抚恤金，一份存入个人档案。

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