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["附件2"]
["福建省总工会本级第十期职工医疗互助\n活动团体报名表"]
[]
[]
["单位编号："]
["工会名称\n（盖章）",{"$nulls":5},"单位性质"]
["工会主席姓名",{"$nulls":5},"联系电话","办公室："]
[{"$nulls":7},"手  机："]
["工作人员姓名",{"$nulls":5},"联系电话","办公室："]
[{"$nulls":7},"手  机："]
["在职职工总人数",{"$nulls":4},"参加人数",null,"参加活动\n人数比例"]
["交款人数",{"$nulls":3},"交款标准\n（100元/人）",null,"交款总金额","小写："]
[{"$nulls":7},"大写："]
["以下由职工服务中心填写"]
["交款时间",{"$nulls":4},"生效期","自   年  月  日零时起\n至   年  月  日24时止"]
["省职工服务中心\n审核意见",{"$nulls":3},"初核","复核","签批"]
[]
[]
["说明：1、此表应填写完整，字迹要清晰。"]
["　　　2、单位编号由职工服务中心统一填写。"]
["　　　3、交表时须附上Excel格式电子版（福建工会网站https://www.fj12351.cn/服务中心，资料下载，下载空表）。"]
["　　　4、此表可用A4纸复印。"]