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["様式第１号（R4.12.2改正）"]
["労働移動支援助成金（早期雇入れ支援コース）職業訓練計画認定申請書"]
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[]
[null,null,null,null,null,"労　働　局　長　　殿",null,null,null,null,null,null,null,null,null,null,null,null,"（","〒",null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"事　業　主",null,null,"所在地"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"名称"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　","代表者氏名"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（","〒",null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"代　理　人",null,null,"所在地"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"名称"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　","氏名"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（","〒",null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"（提出代行者・",null,null,"所在地"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"　事務代理者）",null,null,"名称"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"社会保険労務士","氏名"]
["労働移動支援助成金（早期雇入れ支援コース）に係る職業訓練計画の認定を受けたいので別紙を添付のうえ、次のとおり申請します。"]
[1,"事業所の名称"]
[]
[2,"事業所の所在地",null,null,null,null,null,null,null,"（","〒",null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号",null,null,null,null,null,"－",null,null,"－"]
[3,"雇用保険適用事業所番号",null,null,null,null,null,null,null,null,null,null,null,"－",null,null,null,null,null,null,"－"]
[4,"労働保険番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"－"]
[5,"事業内容"]
[]
[null,null,null,null,null,null,null,null,null,"産業分類",null,null,"大分類",null,null,null,null,null,null,null,null,null,null,"中分類"]
[6,"職業能力開発推進者名",null,null,null,null,null,null,null,"役職",null,null,null,null,null,null,null,null,null,null,null,"電話番号",null,null,null,null,null,"－",null,null,"－"]
[null,null,null,null,null,null,null,null,null,"氏名",null,null,null,null,null,null,null,null,null,null,null,"E-MAIL"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"＠"]
[7,"国・地方公共団体の補助金等の申請の有無",null,null,null,null,null,null,null,null,null,null,null,null,"有",null,"（名称",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）","・","無"]
[8,"申請に関する担当者",null,null,null,null,null,null,null,"所属",null,null,null,null,null,null,null,null,null,null,null,"電話番号",null,null,null,null,null,"－",null,null,"－"]
[null,null,null,null,null,null,null,null,null,"氏名",null,null,null,null,null,null,null,null,null,null,null,"E-MAIL"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"＠"]
[]
["※","処　理　欄"]
["局長",null,null,"部長",null,null,"課長",null,"課長補佐",null,null,null,"職業指導官",null,null,null,null,"係長",null,"担当",null,null,"受理年月日",null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"起案年月日",null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"認定(不認定)年月日",null,null,null,null,null,null,null,"年",null,"月",null,"日"]
["所長",null,"部長・次長",null,null,null,null,"課長・統括",null,null,null,"上席・係長",null,null,null,null,"職業指導官",null,null,"担当",null,null,"職業訓練計画認定番号",null,null,null,null,"第",null,null,null,null,null,null,"号"]
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[]
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[null,"記載にあたっては、裏面の記入上の注意を必ずご覧ください。"]
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["　"]