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[null,"掛金免除\n期　　間",{"$nulls":4},"開始",null,null,"令和　　　年　　　月"]
[{"$nulls":6},"終了",null,null,"令和　　　年　　　月"]
[null,"係",{"$nulls":4},"照　　合"]
[]
[]
[]
[null,"育児休業等による掛金免除申出書"]
[null,"記 号 番 号",{"$nulls":7},"―",{"$nulls":12},"組 合 員 氏 名"]
[]
[null,"所属機関","名　　　称"]
[]
[null,null,"所　在　地"]
[]
[null,"育児休業等期間",{"$nulls":7},"初 日",null,null,"令和",null,"　　　 年　　　 月　　　 日",{"$nulls":11},"末 日",null,null,"令和",null,"　　　 年　　　 月　　　 日"]
[]
[null,"（　日　　数　）",{"$nulls":18},"日 ※",{"$nulls":5},"※「育児休業開始日が属する月」と、「育児休業終了日の翌日が属する月」が同一である場合に記入。"]
[]
[null,"育 児 休 業 等 に 係 る 子 の 生 年 月 日",{"$nulls":19},"令和",{"$nulls":5},"年　　　月　　　日"]
[]
[]
[null,null," １．育児休業、介護休業等育児又は家族介護を行う労働者の福祉に関する法律（平成３年法律"]
[null,null," 　第７６号）第２条第１号、同法第２３条第２項又は同法第２４条第１項第２号"]
[null,null," ２．地方公務員の育児休業等に関する法律（平成３年法律第１１０号）第２条第１項"]
[]
[null,null," 　の規定により育児休業等の承認を受けましたので、その写しを添付します。"]
[]
[]
[null,null,"上記のとおり、掛金の免除を申出します。"]
[]
[null,null,"　　愛知県市町村職員共済組合理事長　様"]
[]
[null,null,"　　　令和　　　　年　　　　月　　　　日"]
[]
[{"$nulls":16},"住　所"]
[{"$nulls":10},"申出者"]
[{"$nulls":16},"氏　名"]
[]
[]
[null,null,"上記の記載事項は、事実と相違ないものと認めます。"]
[]
[null,null,"　　　令和　　　　年　　　　月　　　　日"]
[]
[{"$nulls":16},"職　名"]
[{"$nulls":10},"所属所長"]
[{"$nulls":16},"氏　名"]
[]
[]
[null,"備考）",null,"　公益的法人等への一般職の地方公務員の派遣等に関する法律第２条第１項による派遣職員の"]
[null,null,null,"方は次の点に注意してください。"]
[null,null,null,"・　申出書中最下段の所属所長の証明は、派遣元の所属所長の証明をお願いします。"]