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竹崎國小112學年度 班級每日請假通報單
1、請各班導師於每日上午10點前填報表單，除了日期、班級必答，其他問題請依實際情況回答，沒有的題目可以不用填答。
2、避免重複計算，若填答送出後需要修正，請電話通知護理師。
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日期 (簡寫0510即可)*
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班級 (一年一班請寫11，
一年二班請寫
12…..
以此類推
。)
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事假(填數字)
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事假 (填姓名，全部學生一起填，逗號分開)
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病假(只填數字)(含確診數,請導師註明)
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病假1 (填，姓名後註明症狀)
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病假2 (填，姓名後註明症狀)
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病假3 (填，姓名後註明症狀)
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病假4 (填，姓名後註明症狀)
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病假5 (填，姓名後註明症狀)
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其他回報
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