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[]
["企业受影响职工花名册"]
["填报企业：                                                                                       填报日期：     年   月   日  "]
["序号","姓名","性别","年龄","学历","身份证号码","家庭地址","是否生活困难","签订劳动合同书时间","是否参加失业保险","所在岗位","联系电话"]
{"$rows_empty":10}
["    以上所列人员均为我公司在岗职工，由我公司严格按照“受影响职工”条件要求确定。"]
["    特此声明。"]
[]
["                                                                                                        企业（盖章）"]
["                                                                                                             年   月   日"]

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