劳 动 争 议 仲 裁
申 请 书
致：广州市海珠区劳动争议仲裁委员会
申 请 人 情 况：
姓 名： 性 别： 出生年月： 公民身份号码： 身份证地址：
邮政编码： 联 系 电 话： 工作单位： 职 业： 被 申 请 人 情 况：
名 称：
住 所：
法定代表人： 职 务： 联系电话：
后附：申请书正文 页
申请人签名：
年 月 日
备注：1、本仲裁申请书需用黑色钢笔、签字笔书写或打印；
2、仲裁请求事项应简明扼要并写明具体请求，涉及数额的应写明具体数额；
3、申请的事实和理由必须具体、详细、明确；
4、应按被申请人及第三人数提交申请书副本。
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劳 动 争 议 仲 裁
申 请 书
致：广州市海珠区劳动争议仲裁委员会
申 请 人 情 况：
姓 名： 性 别： 出生年月： 公民身份号码： 身份证地址：
邮政编码： 联 系 电 话： 工作单位： 职 业： 被 申 请 人 情 况：
名 称：
住 所：
法定代表人： 职 务： 联系电话：
后附：申请书正文 页
申请人签名：
年 月 日
备注：1、本仲裁申请书需用黑色钢笔、签字笔书写或打印；
2、仲裁请求事项应简明扼要并写明具体请求，涉及数额的应写明具体数额；
3、申请的事实和理由必须具体、详细、明确；
4、应按被申请人及第三人数提交申请书副本。
---------------------------------------------------------------------------------------------------------------------- 请求事项:
---------------------------------------------------------------------------------------------------------------------- 1、
----------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------- 2、
----------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------- 3、
----------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------- 以上合计：
---------------------------------------------------------------------------------------------------------------------- 事实和理由:
----------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------
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----------------------------------------------------------------------------------------------------------------------
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----------------------------------------------------------------------------------------------------------------------
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