勞動爭議仲裁申請書
申訴人:
姓 名
性 別
年 齡
被訴人:
法定代表人:
地址:
請求事項:
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事實和理由:(包括證據和證據來源,證人姓名和住址等情況):
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
此致
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