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[null,"就労証明書"]
[null,null,null,null,null,null,null,null,null,"宛"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"証明日",null,null,"西暦",null,null,null,"年",null,null,"月",null,null,"日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業所名",null,null,null,"　　　　　　　　　　　　　　　　　　　　　　　　　印"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"代表者名"]
[null,"【民生･児童委員証明】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"所在地"]
[null,"証明日",null,null,"西暦",null,null,null,"年",null,null,"月",null,null,"日",null,null,null,null,null,null,"電話番号",null,null,null,null,null,"―",null,null,null,"―"]
[null,"民生・児童委員",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名",null,null,null,"　　　　　　　　　　　　　　　　　　　　　　　　　印"]
[null,"電話番号",null,null,null,null,null,"―",null,null,null,"―",null,null,null,null,null,null,null,null,null,"記載者連絡先",null,null,null,null,null,"―",null,null,null,"―"]
[null,"下記の内容について、事実であることを証明いたします。"]
[null,"※本証明書の内容について、就労先事業者等に無断で作成し又は改変を行ったときには、刑法上の罪に問われる場合があります。"]
[]
[null,"No.","項目",null,null,null,null,null,"記載欄"]
[null,1,"業種",null,null,null,null,null,"　"]
[]
[]
[null,null,null,null,null,null,null,null,"　",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,null,null,null,"）"]
[null,2,"フリガナ"]
[null,null,"本人氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生年\n月日",null,null,null,"年",null,"月",null,"日"]
[null,3,"本人住所"]
[null,4,"雇用(予定)期間等",null,null,null,null,null,null,null,null,null,"期間 \n （無期の場合は雇用開始日のみ）",null,null,null,null,null,null,null,null,"年",null,"月",null,"日","～",null,null,"年",null,"月",null,"日"]
[null,5,"就労先事業所名"]
[null,6,"就労先住所等",null,null,null,null,null,"就労先住所\n（所在地）"]
[null,null,null,null,null,null,null,null,"通勤手段",null,null,null,null,null,null,null,"自宅の最寄り（",null,null,null,null,null,null,null,"）　就労先の最寄り（",null,null,null,null,null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,null,null,"）"]
[null,7,"就労先電話番号",null,null,null,null,null,null,null,"―",null,null,null,"―"]
[null,8,"雇用の形態",null,null,null,null,null,"　"]
[null,null,null,null,null,null,null,null,"　",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(",null,null,null,null,null,null,")"]
[null,9,"就労時間\n(固定就労の場合)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"合計\n時間",null,"月間",null,null,null,"時間",null,null,null,"分","（うち休憩時間",null,null,null,null,"分）"]
[null,null,null,null,null,null,null,null,"一月当たりの就労日数",null,null,null,null,null,"月間",null,null,null,null,"日","一週当たりの就労日数",null,null,null,null,null,"週間",null,null,null,null,"日"]
[null,null,null,null,null,null,null,null,"平日",null,null,null,"時",null,null,"分",null,null,"～",null,null,"時",null,null,"分","（うち休憩時間",null,null,null,null,"分）"]
[null,null,null,null,null,null,null,null,"土曜",null,null,null,"時",null,null,"分",null,null,"～",null,null,"時",null,null,"分","（うち休憩時間",null,null,null,null,"分）"]
[null,null,null,null,null,null,null,null,"日祝",null,null,null,"時",null,null,"分",null,null,"～",null,null,"時",null,null,"分","（うち休憩時間",null,null,null,null,"分）"]
[null,10,"就労時間\n(変則就労の場合)",null,null,null,null,null,"合計時間",null,null,null,null,null,null,null,null,null,null,null,"時間",null,null,null,"分","（うち休憩時間",null,null,null,null,"分）"]
[null,null,null,null,null,null,null,null,"就労日数",null,null,null,null,null,null,null,null,null,null,null,"日"]
[null,null,null,null,null,null,null,null,"主な就労時間帯\n・シフト時間帯",null,null,null,null,null,"時",null,null,"分","～",null,null,"時",null,null,"分","（うち休憩時間",null,null,null,null,"分）"]
[null,11,"就労実績\n※日数に有給休暇を含み、\n時間数に休憩・残業時間を含む",null,null,null,null,null,"年月",null,null,null,"年",null,null,"月",null,"年月",null,null,null,"年",null,null,"月",null,"年月",null,null,null,"年",null,null,"月"]
[null,null,null,null,null,null,null,null,null,null,"日／月",null,null,null,"時間／月",null,null,null,null,"日／月",null,null,null,"時間／月",null,null,null,null,"日／月",null,null,null,"時間／月"]
[null,12,"産前･産後休業の取得\n※取得予定を含む"]
[null,null,null,null,null,null,null,null,"期間",null,null,null,"年",null,null,"月",null,null,"日",null,"～",null,null,null,null,"年",null,null,"月",null,null,"日"]
[null,13,"育児休業の取得\n※取得予定を含む",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"期間",null,null,null,"年",null,"月",null,"日","～",null,null,"年",null,"月",null,"日"]
[null,14,"復職（予定）年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[null,15,"育児のための短時間\n勤務制度利用有無\n※取得予定を含む",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"期間",null,null,null,"年",null,"月",null,"日","～",null,null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,null,null,"主な就労時間帯\n・シフト時間帯",null,null,null,null,null,"時",null,null,"分","～",null,null,"時",null,null,"分","（うち休憩時間",null,null,null,null,"分）"]
[null,16,"保育士資格等",null,null,null,null,null,"資格・免許取得状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"保育士等としての勤務実態の有無"]
[null,17,"備考欄",null,null,null,null,null,"通勤時間（                分）※片道分"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（※事業者証明欄はここまで）"]
[]
[null,"保護者記載欄"]
[null,"児童名",null,null,null,null,null,null,null,"生年月日",null,null,null,null,"年",null,null,"月",null,null,"日","本人との続柄",null,null,null,null,null,null,null,"(",null,null,null,null,")"]
[null,"施設・事業所等の利用状況等",null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,null,"）",null,null,"(",null,null,null,null,null,null,null,null,null,null,")"]
[null,"児童名",null,null,null,null,null,null,null,"生年月日",null,null,null,null,"年",null,null,"月",null,null,"日","本人との続柄",null,null,null,null,null,null,null,"(",null,null,null,null,")"]
[null,"施設・事業所等の利用状況等",null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,null,"）",null,null,"(",null,null,null,null,null,null,null,null,null,null,")"]
[null,"児童名",null,null,null,null,null,null,null,"生年月日",null,null,null,null,"年",null,null,"月",null,null,"日","本人との続柄",null,null,null,null,null,null,null,"(",null,null,null,null,")"]
[null,"施設・事業所等の利用状況等",null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,null,"）",null,null,"(",null,null,null,null,null,null,null,null,null,null,")"]
[null,"※就労証明書様式の記載要領は当BOOKの「記載要領」シートを参照してください。"]