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[null,"掛金免除\n期　　間",null,null,null,"開始",null,null,"令和　　　年　　　月"]
[{"$nulls":5},"終了",null,null,"令和　　　年　　　月"]
[null,"係",{"$nulls":4},"照　合"]
[]
[]
[]
[null,"育児休業等による掛金免除期間変更・取消申出書"]
[null,"記 号 番 号",{"$nulls":7},"―",{"$nulls":11},"組 合 員 氏 名"]
[]
[null,"所\n属\n機\n関","名　　　　　称"]
[]
[null,null,"所　　在　　地"]
[]
[null,"変\n更\n内\n容","育 児 休 業 等\n期 間 の 変 更",{"$nulls":6},"変更前",null,null,"初日",null,"令和",null,null,"　　年　　　月　　　日",{"$nulls":9},"末日",null,"令和",null,null,"　　年　　　月　　　日"]
[{"$nulls":9},"変更後",null,null,"初日",null,"令和",null,null,"　　年　　　月　　　日",{"$nulls":9},"末日",null,"令和",null,null,"　　年　　　月　　　日"]
[null,null,"（　日　　数　）",{"$nulls":16},"日 ※",{"$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,null,null,"育児休業等に係る子の生年月日 ",{"$nulls":18},"令和",{"$nulls":4},"　　 年　　　月　　　日"]
[]
[null,null,"   育児休業等期間の取消しにより、掛金免除の申出を取下げます。"]
[]
[null,"　上記のとおり育児休業等期間の変更・取消し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、掛金免除期間の変更・取消しを申出します。"]
[]
[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。"]