XLS《遗失补办》

"职业资格证书遗失补办申请表" "申请人填写","姓名",,

"身份证号",,

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,"手机",,

"联系地址",,

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,"职业(工种)",,

"等级",,

"证书编号",,

,"声明内容","遗失上海市职业技能鉴定中心核发证书,特此申请补办证书",,

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, ,"补办证书领取方式(请选择后打勾)","

1、本人已阅读以下须知,并愿意委托EMS快递()",,

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, ,,

"须知:①EMS快递面单由申请人至受理窗口填写,快递费由申请人承担,快递费由申请人签收快递时到付;

②EMS快递必须本人凭有效证件签收,签收时务必检查证书完好性;

③签收后的证书遗失、损坏由本人负责.

",,

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, ,,

"

2、自行领取()",,

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, ,"本人已核对上述内容,并承诺真实准确.",,

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, ,,

,"签名:",,

"申请日期:",,

"市中心填写","受理意见",,

"经办人",,

"受理日期",,

"办结日期" ,"审核意见",,

"经办人",,

"办理日期",,

,"快递日期",,

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"经办人",,

"备注","领证人签名",,

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"领证日期",,

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, ,,

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,"上海市职业技能鉴定中心",,