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育嬰留職停薪復職情形調查(員工版)
為了解本縣轄內育嬰留職停薪員工復職情形，俾利適時提供協助，爰進行本調查。
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姓名
*
Your answer
性別
*
Your answer
聯絡方式
*
電話、地址、電子信箱均可選擇性填寫
Your answer
任職的事業單位名稱
*
請填寫完整名稱，以利本府與勞保局資料勾稽
Your answer
育嬰留職停薪開始日期
*
MM
/
DD
/
YYYY
育嬰留職停薪結束日期
*
MM
/
DD
/
YYYY
是否已復職？
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已復職
未復職
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