,"南通市生育保险津贴待遇申请表",,,,,,

,,,,,,,"编号:""申请人信息",,"姓名",,"身份证号码",,,,"第一联生育管理科留存",,"个人编号",,"联系电话",,,,,,"人员类别","在职女职工在职男职工其他("配偶信息",,"姓名",,"身份证号码",,"联系电话",,"生育情况",,"生育时间","年月日","新生儿出生医学证明编号",,"生育证明编号",,"申请津贴类别",,"流引产","2个月以下2-3个月3-7个月7个月以上",,,,,,,"生育","顺产难产剖宫产(有指征)剖宫产(无指征)多胞胎(胎)",,,,,,,"计划生育","放取环放取皮埋输卵管结扎复通输精管结扎输精管复通",,,,,,,"男职工护理假","男职工护理假",,,,,,,"其他",,,,,,"单位信息",,"单位编码",,,"单位名称",,,,,,"单位开户银行",,,"单位账号",,,,,"单位联系人",,,"联系电话",,,"本人对上述填写情况确认无误.
"申请人:年月日",,,,,"经办机构意见",,,,,,,,"审核人:(签章)",,,"(单位盖章)",,,,,"复核人:(签章)",,,,,,,,,"(公章)",,"年月日"年月日","填表说明:"1.
本表适用于男职工护理假津贴申请、境外生育人员津贴申请及其他生育津贴申请.

"2.
本表一式两联,第一联经办机构留存,第二联申请单位留存.
,,,,,,,,,,,,,,,"南通市生育保险津贴待遇申请表",,,,,,,,,,,,,"编号:""申请人信息",,"姓名",,"身份证号码",,,,"第二联申请单位留存",,"个人编号",,"联系电话",,,,,,"人员类别","在职女职工在职男职工其他("配偶信息",,"姓名",,"身份证号码",,"联系电话",,"生育情况",,"生育时间","年月日","新生儿出生医学证明编号",,"生育证明编号",,"申请津贴类别",,"流引产","2个月以下2-3个月3-7个月7个月以上",,,,,,,"生育","顺产难产剖宫产(有指征)剖宫产(无指征)多胞胎(胎)",,,,,,,"计划生育","放取环放取皮埋输卵管结扎复通输精管结扎输精管复通",,,,,,,"男职工护理假","男职工护理假",,,,,,,"其他",,,,,,"单位信息",,"单位编码",,,"单位名称",,,,,,"单位开户银行",,,"单位账号",,,,,"单位联系人",,,"联系电话",,,"本人对上述填写情况确认无误.
"申请人:年月日",,,,,"经办机构意见",,,,,,,,"审核人:(签章)",,,"(单位盖章)",,,,,"复核人:(签章)",,,,,,,,,"(公章)",,"年月日"年月日","填表说明:"1.
本表适用于男职工护理假津贴申请、境外生育人员津贴申请及其他生育津贴申请.