XLS《信息采集表》

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, "1-2类",,

"安置时间","年月日",,

"退役安置方式",,

,,

,,

"安置单位名称",,

,,

"安置单位性质",,

, ,,

"安置地","省(自治区)县(市区)乡(镇、街道)",,

,,

,,

"7-8类",,

"伤残性质","因战因公因病",,

,"伤残等级",,

, ,,

"伤残证号",,

,,

"评残时间","年月日",,

,,

"是否因精神病评残",,

"是否","原服务单位",,

,,

"9-11类",,

"与烈士关系",,

"是否是持证人","是否","烈士证明书编号",,

, ,,

"烈士姓名",,

"性别","男女","出生日期",,

"入伍(工作)日期", ,,

"烈士生前所在单位",,

,,

"牺牲(死亡)日期",,

"年月日", ,,

"评定烈士单位",,

,,

"评定烈士(认定病故、因公牺牲)时间",,

, ,,

"烈士安葬地","省(自治区)县(市区)乡(镇、街道)",,

,,

,,

"12类",,

"与现役军人关系",,

"是否随军","是否","现役军人姓名",,

"现役军人性别","男女" ,,

"现役军人职级",,

"入伍日期","年月日",,

"军人证件号",,

,,

"服役部队代号",,

,"身份证号",,

,,

"立功受奖(获得荣誉)情况",,

,"八一勋章大军区以上荣誉称号一等功二等功三等功全军士官优秀人才奖全省劳动模范全国先进工作者全军职工先进工作者省部级劳动模范省部级先进工作者其他无",,

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,,

"其他情况" "主要困难",,

"就业生活住房医疗养老教育其他",,

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, "主要诉求",,

"提高待遇问题确认身份问题安排工作问题解决三难问题解决社保问题其他",,

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, "具体诉求" "采集对象确认签字:采集人签字:日期:年月日",,

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,"县(市、区)意见:(公章)审核人:日期:年月日",,

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