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["附件3"]
["天柱县就业困难人员认定申请表"]
["填报人：                                                                                               填报日期："]
["序号","户主及家庭成员","身份证号","性别","年龄","文化程度","有无劳动能力","是否登记失业","是否享受低保","是否建档立卡户","是否易地扶贫搬迁户","是否单位内部退休人员","月劳动收入金额","该家庭成员情况简介","电话号码"]
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["申请人承诺：本人有就业意愿，以上本人家庭情况信息全部真实，本人自愿承诺，如被核查出有虚假信息，本人自愿放弃就业困难人员待遇，并承担有关部门追究责任。                                               申请人（签章）",{"$nulls":3},"用人单位审查情况：",{"$nulls":3},"就业局审查情况：",{"$nulls":4},"领导小组核查情况："]
["辅助证明材料：1、本户户口册全部家庭成员复印件2份（首页与本人页）。2、全部家庭成员身份证复印件2份。3、本户劳动力需有就业失业证并登记失业（就业失业登记证和复印件2份）。4、本户如有低保人员需提供低保证复印件2份。5、家庭成员如无劳动力(需要二级以上残疾证复印件2份）。"]