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["附件1："]
["高校毕业生灵活就业（自主创业）社会保险补贴                   申   请   表"]
["姓名",null,null,"性别",null,null,"出生年月",{"$nulls":3},"（近期红底1寸照片）"]
["婚否",null,null,"民族",null,null,"文化程度"]
["身份证号",{"$nulls":4},"联系电话"]
["家庭住址"]
["毕业学校",{"$nulls":3},"所学专业",{"$nulls":3},"毕业时间"]
["《就业创业证》或《就业创业证》编号",{"$nulls":5},"发证时间"]
[]
["人员类别（在所选类别后面打√）",{"$nulls":3},"离校2年未就业的高校毕业生",{"$nulls":3},"创业失败人员"]
["实现就业方式（在所选就业方式后面打√）",{"$nulls":4},"灵活就业",null,null,"自主创业"]
["自主创业者填写",null,"创办实体名称"]
[null,null,"统一社会信用代码"]
["注销工商登记时间（创业失败人员填写）"]
["首次享受补贴时间",{"$nulls":3},"本期补贴开始时间",{"$nulls":3},"本期补贴结束时间"]
["申请社会保险费补贴情况","保险类别",null,"本年度个人已缴纳金额","本年度个人已缴纳月数",null,"申请补贴月数",null,"审核确认补贴金额","补贴合计金额"]
[null,"养老保险"]
[null,"医疗保险"]
[null,"其它保险"]
["社区居委会（村委会）意见",null,"年   月   日",null,null,"乡（镇、街道）劳动保障所意见",null,null,"年   月   日"]
["公共就业服务机构审核意见",null,"年   月   日",null,null,"人力资源和社会保障部门意见",null,null,"年   月   日"]
["此表一式三份（本人、公共就业服务机构、人力资源和社会保障部门各一份）"]