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["劳动争议仲裁申请书"]
[]
["申  请  人","姓            名",null,"性      别",null,"年龄"]
[null,"身份证号码",null,"国      籍",null,"民族"]
[null,"户 籍 地 址",null,"现 住 址"]
[null,"联 系 电 话",null,"通邮地址"]
["被 申 请 人","单 位 全 称",null,"法定代表人",null,"电话"]
[null,"单 位 地 址",null,"人事负责人",null,"电话"]
[null,"通 邮 地 址"]
[]
[]
["仲裁请求事项："]
[]
[]
[]
[]
[]
[]
["事实和理由："]

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["注：1、仲裁申请书应用钢笔填写或打印，由申请人签名（签名不得复印），并注明递交日期。提交证据应按照举证要求，填写证据清单并装订好证据，附于仲裁申请书后。"]
["2、申请人有责任提供双方的准确通邮地址和联系电话，如因提供信息有误造成仲裁审理期限延误的，由当事人自负责任。"]