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[]
["河源市住房公积金职工个人账户封存申请表"]
["单位名称（盖章）：",{"$nulls":4},"单位账号：",null,"单位缴存比例：  ％"]
["封存人数：     人",{"$nulls":4},"  封存年月： ","     年   月 ","个人缴存比例：  ％",null,"单位：元"]
["个人账号",null,"姓名","身份证件号码","缴存基数","单位月缴存额","个人月缴存额","月缴存总额","缴至年月","封存原因"]
{"$rows_empty":11}
["说明：1、此表一式两份，一份住房公积金中心存档，一份缴存单位自留；          \n2、月缴存额请填写总额（含单位和个人部分）；\n3、封存原因包括：退休、死亡、中断工资关系、出境定居、调动等。"]
["单位经办人（签名）：",{"$nulls":3},"联系电话：",null,"手机号码：",null,"申请时间：   年    月    日 "]

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