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[null,"省直住房公积金提取申请表"]
[null,"单 位 名 称",null,null,"安徽警官职业学院",{"$nulls":8},"单  位  代  码",null,null,1162]
[null,"申请人情况"]
[null," 姓           名",{"$nulls":6},"身份证号"]
[null,"提取住房     公积金原因",null,null,"A、购自住商品房   B、偿还个人住房贷款   C、房租超标   D、退休  E、丧失劳动力                     "]
[{"$nulls":4},"E、家庭成员发生重大疾病  F、死亡  G、失业两年未就业   H、享受低保  I、其他  "]
[]
[{"$nulls":4},"是否销户  □是   □否       签名：               联系电话："]
[null,"收款方式     可任选一     种(多填、    涂改无效)",null,null,"转入单位基本账户",{"$nulls":3},"单位名称"]
[{"$nulls":8},"开户银行"]
[{"$nulls":8},"银行账号"]
[{"$nulls":4},"转入申请人合肥     市活期储蓄账户",{"$nulls":3},"姓    名"]
[{"$nulls":8},"开户银行"]
[{"$nulls":8},"银行账号"]
[null,"所在单位     审核意见",null,null,"     兹证明该职工所提取住房公积金原因属实"]
[{"$nulls":4}," 签章："]
[{"$nulls":4},"                                        (加盖单位公章或财务专用章)               2013 年    月    日"]
[null,"购房人情况"]
[null,"姓　　　名",{"$nulls":6},"身份证号"]
[null,"购 房 地 址"]
[null,"与申请人关系",null,null,"              A、本人           B、夫妻           C、共有      "]
[null,"代办人情况"]
[null,"姓      名",{"$nulls":6},"身份证号"]
[null,"与申请人关系",null,null,"              A、夫妻             B、父母              C、子女              D、单位经办人         "]
[null,"特别提示："]
[]
[null,"    提取、转移公积金一般由本人办理。本人无法来省直分中心办理的，可委托其配偶、同户籍的父母或单位经办人代办；代办人除提供委托人所须材料原件和复印件外，还须提供代办人身份证原件和复印件及相关证件(配偶提供结婚证、户籍同住人提供户籍证明)的原件和复印件  "]
[]
[]
[null,"   "]